Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BECKER (EXECUTIVE DIRECTOR)
(407) 362-9210
Entity
Organization
Contact information
Practice address
6147 CHRISTIAN WAY, ORLANDO, FL 32808-1435
(407) 296-5300
Mailing address
5850 T G LEE BLVD, ORLANDO, FL 32822-4407
(407) 362-9210
(407) 856-3781
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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