| Devereux Foundation | |
|
8000 Devereux Dr Viera FL 32940-7907 | |
| (321) 242-9100 | |
| Not Available |
| Full Name | Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 8000 Devereux Dr, Viera, Florida |
| Authorized Official Name and Position | Gwen Skinner (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 4073629210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Foundation 5850 T.g. Lee Boulevard Suite 400 Orlando FL 32822 Ph: (407) 812-4555 | Devereux Foundation 8000 Devereux Dr Viera FL 32940-7907 Ph: (321) 242-9100 |
| NPI Number | 1538228861 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538228861 | NPI | - | NPPES |
| 029573629 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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