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Organization
THE DEVEREUX FOUNDATION
Active
Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BECKER (EXECUTIVE DIRECTOR)
(407) 812-4555
Entity
Organization
Contact information
Practice address
225 N BURNETT DRIVE, COCOA, FL 32926
(321) 504-2050
Mailing address
5850 TG LEE BOULEVARD, ORLANDO, FL 32822
(407) 812-4555
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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