| The Devereux Foundation | |
|
3937 W Vine Street Kissimmee FL 34741 | |
| (407) 935-3770 | |
| Not Available |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3937 W Vine Street, Kissimmee, Florida |
| Authorized Official Name and Position | Michael C Becker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4078124555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Devereux Foundation 5850 T G Lee Boulevard Suite 400 Orlando FL 32822 Ph: (407) 812-4555 | The Devereux Foundation 3937 W Vine Street Kissimmee FL 34741 Ph: (407) 935-3770 |
| NPI Number | 1619031754 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619031754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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