# THE DEVEREUX FOUNDATION

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

## Provider details

- **NPI number:** 1942369277
- **Authorized official:** GWEN SKINNER (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (407) 362-9210

## Contact information

- **Practice address:** 1850 S DELEON AVE, TITUSVILLE, FL 32780-7733
- **Practice address phone:** (407) 374-2827
- **Mailing address:** 5850 T.G. LEE BOULEVARD, SUITE 400, ORLANDO, FL 32822
- **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:** 11/06/2018