Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN SKINNER (EXECUTIVE DIRECTOR)
(407) 362-9210
Entity
Organization
Contact information
Practice address
4801 S UNIVERSITY DR STE 134, DAVIE, FL 33328-3860
(954) 731-7665
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
(407) 812-4555
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767753700
—
FL
05
—
767753701
—
FL
Enumeration date
12/21/2006
Last updated
10/22/2025
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