| Devereux Foundation, Inc. | |
|
3350 State Road 60 E Bartow FL 33830-8471 | |
| (813) 460-4451 | |
| Not Available |
| Full Name | Devereux Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3350 State Road 60 E, Bartow, Florida |
| Authorized Official Name and Position | Jessica Lyles (NATIONAL DIRECTOR OF ACCOUNTS RECEI) |
| Authorized Official Contact | 2676374536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Foundation, Inc. 5850 T G Lee Blvd Ste 400 Orlando FL 32822-4409 Ph: () - | Devereux Foundation, Inc. 3350 State Road 60 E Bartow FL 33830-8471 Ph: (813) 460-4451 |
| NPI Number | 1407631856 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407631856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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