DEVEREUX FLORIDA NPI 1154660165

NPI Information

NPI: 1154660165
Provider Name: DEVEREUX FLORIDA
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1010 EXECUTIVE CENTER DR STE 100
ORLANDO, FL
ZIP 32803
Phone: (321) 281-3840
Get Directions

DEVEREUX FLORIDA is a community health clinic center in Orlando, FL. DEVEREUX FLORIDA NPI is 1154660165. The provider is registered as an organization entity type.

The provider's business location address is:

1010 EXECUTIVE CENTER DR STE 100
ORLANDO, FL
ZIP 32803-521
Phone: (321) 281-3840

The provider's authorized official is Valerie Clary .
The authorized official title is Therapist and has the following contact phone number (407) 473-8316.

The enumeration date for this NPI number is 2/11/2013 and was last updated on 2/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	029573621	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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