| The Devereux Foundation | |
|
212 Aquarius Ave Se Palm Bay FL 32909-3657 | |
| (321) 409-2096 | |
| Not Available |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 212 Aquarius Ave Se, Palm Bay, Florida |
| Authorized Official Name and Position | Michael C Becker (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 Tg Lee Blvd Orlando FL 32822-4407 Ph: (407) 362-9210 | The Devereux Foundation 212 Aquarius Ave Se Palm Bay FL 32909-3657 Ph: (321) 409-2096 |
| NPI Number | 1396937546 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396937546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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