Provider Demographics
NPI:1043923824
Name:FLORIDA VIRTUAL SCHOOL
Entity type:Organization
Organization Name:FLORIDA VIRTUAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGAZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-513-3351
Mailing Address - Street 1:5422 CARRIER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8394
Mailing Address - Country:US
Mailing Address - Phone:407-513-2067
Mailing Address - Fax:
Practice Address - Street 1:5422 CARRIER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8394
Practice Address - Country:US
Practice Address - Phone:407-513-2067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)