| Devereux | |
|
120 E New York Ave Suite B Deland FL 32724-5568 | |
| (386) 738-5543 | |
| (866) 596-2824 |
| Full Name | Devereux |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 E New York Ave, Deland, Florida |
| Authorized Official Name and Position | Marisol Lindsay (PROGRAM MANAGER) |
| Authorized Official Contact | 3867385543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux 120 E New York Ave Suite B Deland FL 32724-5568 Ph: (386) 738-5543 | Devereux 120 E New York Ave Suite B Deland FL 32724-5568 Ph: (386) 738-5543 |
| NPI Number | 1922415074 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922415074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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