| The Devereux Foundation | |
|
5850 T G Lee Blvd Orlando FL 32822-4407 | |
| (407) 362-9274 | |
| (866) 440-0613 |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 5850 T G Lee Blvd, Orlando, Florida |
| Authorized Official Name and Position | Steven J Murphy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4073629210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Devereux Foundation 5850 T G Lee Blvd Orlando FL 32822-4407 Ph: (407) 362-9274 | The Devereux Foundation 5850 T G Lee Blvd Orlando FL 32822-4407 Ph: (407) 362-9274 |
| NPI Number | 1528446887 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 05/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528446887 | NPI | - | NPPES |
| 672473696 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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