Devereux

LBN: Devereux
Devereux is an health care organization with primary practice located at 5850 T G Lee Blvd Suite 400, Orlando FL 32822-4407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Devereux can be contacted via phone (321) 281-3840, or through Elston, Jacquita via phone (321) 281-3840.

Contact Information

Primary practice address
5850 T G Lee Blvd Suite 400 Orlando FL 32822-4407
Phone: (321) 281-3840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elston, Jacquita
Phone: (321) 281-3840

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 160994624 Florida

Profile Details

NPI number 1326301706
LBN Legal business name Devereux
DBA Doing business as
Authorized official Elston, Jacquita
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326301706 NPPES
Florida MEDICAID 029573621

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