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Organization
DEVEREUX FLORIDA
Active
Organization
DEVEREUX FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE CLARY (THERAPIST)
(407) 473-8316
Entity
Organization
Contact information
Practice address
1010 EXECUTIVE CENTER DR STE 100, ORLANDO, FL 32803-3521
(321) 281-3840
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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