Organization
DEVEREUX FLORIDA
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SWEEZEY (BUSINESS ANALYST)
(407) 362-9274
Entity
Organization
Contact information
Practice address
4119 EAGLE FEATHER DR, ORLANDO, FL 32829-8436
(407) 380-7816
Mailing address
4119 EAGLE FEATHER DR, ORLANDO, FL 32829-8436
(407) 380-7816
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672473696
—
FL
Enumeration date
06/17/2019
Last updated
06/17/2019
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