| Devereux Florida | |
|
1010 Executive Center Dr Ste 100 Orlando FL 32803-3521 | |
| (321) 281-3840 | |
| Not Available |
| Full Name | Devereux Florida |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1010 Executive Center Dr Ste 100, Orlando, Florida |
| Authorized Official Name and Position | Valerie Clary (THERAPIST) |
| Authorized Official Contact | 4074738316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Florida 5850 T G Lee Blvd Ste 400 Orlando FL 32822-4409 Ph: () - | Devereux Florida 1010 Executive Center Dr Ste 100 Orlando FL 32803-3521 Ph: (321) 281-3840 |
| NPI Number | 1154660165 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 02/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154660165 | NPI | - | NPPES |
| 029573621 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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