# DEVEREUX FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Devereux Advanced Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720648322
- **Authorized official:** MICHAEL SWEEZEY (BUSINESS ANALYST)
- **Authorized official phone:** (407) 362-9274

## Contact information

- **Practice address:** 4119 EAGLE FEATHER DR, ORLANDO, FL 32829-8436
- **Practice address phone:** (407) 380-7816
- **Mailing address:** 4119 EAGLE FEATHER DR, ORLANDO, FL 32829-8436
- **Mailing address phone:** (407) 380-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 06/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 672473696 | — | FL |