| The Devereux Foundation | |
|
8410 Nw 53rd Terrace Miami FL 33166 | |
| (305) 463-9967 | |
| Not Available |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 8410 Nw 53rd Terrace, Miami, Florida |
| Authorized Official Name and Position | Steven J Murphy (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 Tg Lee Boulevard Suite 430 Orlando FL 32822 Ph: (407) 812-4555 | The Devereux Foundation 8410 Nw 53rd Terrace Miami FL 33166 Ph: (305) 463-9967 |
| NPI Number | 1851455992 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851455992 | NPI | - | NPPES |
| 029573606 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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