# DEVEREUX FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306904636
- **Authorized official:** MICHAEL C BECKER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 812-4555

## Contact information

- **Practice address:** 120 E NEW YORK AVE STE C, DELAND, FL 32724-5527
- **Practice address phone:** (386) 738-5543
- **Mailing address:** 5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
- **Mailing address phone:** (407) 812-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 10/22/2025
