Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN SKINNER (EXECUTIVE DIRECTOR)
(407) 362-9210
Entity
Organization
Contact information
Practice address
3550 N GOLDENROD RD, WINTER PARK, FL 32792-8823
(407) 362-9210
Mailing address
3550 N GOLDENROD RD, WINTER PARK, FL 32792-8823
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672473696
—
FL
Enumeration date
07/18/2015
Last updated
10/04/2018
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