# THE DEVEREUX FOUNDATION

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

## Provider details

- **NPI number:** 1922290170
- **Authorized official:** MICHAEL C BECKER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 362-9210

## Contact information

- **Practice address:** 442 GALLAGHER ST SW, PALM BAY, FL 32908-4727
- **Practice address phone:** (321) 409-2164
- **Mailing address:** 5850 TG LEE BLVD, ORLANDO, FL 32822-4407
- **Mailing address phone:** (407) 362-9210

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007