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Organization

DEVEREUX FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA LYLES (ACCOUNTS RECEIVABLE DIRECTOR)
(267) 637-4536
Entity
Organization

Contact information

Practice address
3185 PREMIER DR, BROOKSVILLE, FL 34604-8305
(813) 460-4451
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
(407) 362-9210

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
05/03/2024
Last updated
05/03/2024
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