Organization
DEVEREUX FOUNDATION, INC.
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYLES (NATIONAL DIRECTOR OF ACCOUNTS RECEI)
(267) 637-4536
Entity
Organization
Contact information
Practice address
3350 STATE ROAD 60 E, BARTOW, FL 33830-8471
(813) 460-4451
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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