Devereux | |
120 E New York Ave Ste B Deland FL 32724-5527 | |
(386) 738-5543 | |
Not Available |
Full Name | Devereux |
---|---|
Speciality | Community/behavioral Health |
Location | 120 E New York Ave Ste B, Deland, Florida |
Authorized Official Name and Position | Marisol Lindsay (PROGRAM MANAGER) |
Authorized Official Contact | 3868017654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Devereux 120 E New York Ave Ste B Deland FL 32724-5527 Ph: () - | Devereux 120 E New York Ave Ste B Deland FL 32724-5527 Ph: (386) 738-5543 |
NPI Number | 1053735266 |
---|---|
Provider Enumeration Date | 02/07/2014 |
Last Update Date | 02/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053735266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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