Organization
THE 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
1500 INDEPENDENCE BLVD, SARASOTA, FL 34234-2135
(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
10/10/2023
Last updated
12/11/2023
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