| The Devereux Foundation | |
|
120 E New York Ave Deland FL 32724-5568 | |
| (386) 738-5543 | |
| Not Available |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 120 E New York Ave, Deland, Florida |
| Authorized Official Name and Position | Gwendolyn Skinner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4073629213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Devereux Foundation 5850 T G Lee Blvd Orlando FL 32822-4407 Ph: (407) 362-9213 | The Devereux Foundation 120 E New York Ave Deland FL 32724-5568 Ph: (386) 738-5543 |
| NPI Number | 1265656052 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 10/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265656052 | NPI | - | NPPES |
| 029573612 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Samuel M Edwards M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W Plymouth Ave, Deland, FL 32720 Phone: 386-736-7244 Fax: 386-736-8538 | |
Mohan L Sharma Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 East Rich Ave, Deland, FL 32724 Phone: 386-736-1444 Fax: 386-736-9337 | |
Med Equity Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 Fax: 386-736-3860 | |
Dwic Of Tampa Bay, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-0574 Fax: 386-738-0573 | |
Emmanuel Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 N Stone St, Deland, FL 32720 Phone: 386-279-7726 Fax: 386-873-2927 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 S Woodland Blvd Ste 4, Deland, FL 32720 Phone: 386-202-6025 Fax: 386-202-1755 | |
Physicians Medical And Injury Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 S Woodland Blvd Ste 200a, Deland, FL 32720 Phone: 386-279-0943 Fax: 386-873-4217 |