Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BECKER (EXECUTIVE DIRECTOR)
(407) 812-4555
Entity
Organization
Contact information
Practice address
120 E NEW YORK AVE STE C, DELAND, FL 32724-5527
(386) 738-5543
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
—
029573605
—
FL
Enumeration date
12/06/2006
Last updated
10/22/2025
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