| Education Transformation Enterprises Inc | |
|
767 Blanding Blvd Ste 110b Orange Park FL 32065-5788 | |
| (904) 539-8300 | |
| Not Available |
| Full Name | Education Transformation Enterprises Inc |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 767 Blanding Blvd Ste 110b, Orange Park, Florida |
| Authorized Official Name and Position | Kristal Todd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9045398300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Education Transformation Enterprises Inc 767 Blanding Blvd Ste 110b Orange Park FL 32065-5788 Ph: (904) 539-8300 | Education Transformation Enterprises Inc 767 Blanding Blvd Ste 110b Orange Park FL 32065-5788 Ph: (904) 539-8300 |
| NPI Number | 1073497608 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 08/05/2025 |
| Certification Date | 08/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073497608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Primary |
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