Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BECKER (EXECUTIVE DIRECTOR)
(407) 362-9212
Entity
Organization
Contact information
Practice address
6314 CORPORATE CT # 8, FORT MYERS, FL 33919-3516
(239) 690-5200
Mailing address
5850 T G LEE BLVD, SUITE 400, ORLANDO, FL 32822-4407
(407) 362-9212
(407) 856-3781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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