Organization
DEVEREUX FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYLES (NATIONAL ACCOUNTS RECEIVABLE DIRECT)
(267) 637-4536
Entity
Organization
Contact information
Practice address
1500 INDEPENDENCE BLVD, SARASOTA, FL 34234-2135
(813) 460-4451
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029573659
—
FL
Enumeration date
09/25/2023
Last updated
11/06/2023
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