# THE DEVEREUX FOUNDATION

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

## Provider details

- **NPI number:** 1558142075
- **Authorized official:** JESSICA LYLES (ACCOUNTS RECEIVABLE DIRECTOR)
- **Authorized official phone:** (267) 637-4536

## Contact information

- **Practice address:** 1500 INDEPENDENCE BLVD, SARASOTA, FL 34234-2135
- **Practice address phone:** (813) 460-4451
- **Mailing address:** 5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
- **Mailing address phone:** (407) 362-9210

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 12/11/2023