Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J MURPHY (EXECUTIVE DIRECTOR)
(407) 362-9210
Entity
Organization
Contact information
Practice address
3550 N GOLDENROD RD STE 1, WINTER PARK, FL 32792-8823
(321) 441-1030
Mailing address
5850 T.G. LEE BOULEVARD, SUITE 400, ORLANDO, FL 32822
(407) 362-9213
(407) 858-5506
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029573602
—
FL
05
—
029573621
—
FL
Enumeration date
11/08/2006
Last updated
07/13/2022
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