Provider Demographics
NPI:1851960090
Name:IMAGINE SCHOOLS AT SOUTH VERO
Entity Type:Organization
Organization Name:IMAGINE SCHOOLS AT SOUTH VERO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:POIRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-567-2728
Mailing Address - Street 1:6000 4TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-9563
Mailing Address - Country:US
Mailing Address - Phone:772-633-4770
Mailing Address - Fax:
Practice Address - Street 1:6000 4TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32968-9563
Practice Address - Country:US
Practice Address - Phone:772-633-4770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)