Devereux Florida

LBN: Devereux Florida
Devereux Florida is an health care organization with primary practice located at 1010 Executive Center Dr 100, Orlando FL 32803-3529. 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 Florida can be contacted via phone (321) 281-3840, or through Mendoza, Jose R via phone (321) 281-3840.

Contact Information

Primary practice address
1010 Executive Center Dr 100 Orlando FL 32803-3529
Phone: (321) 281-3840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendoza, Jose R MSW
Phone: (321) 281-3840

Health care specialties

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

Profile Details

NPI number 1366704074
LBN Legal business name Devereux Florida
DBA Doing business as
Authorized official Mendoza, Jose R MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2012
Last updated Jun 10th, 2012 - about 12 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 1366704074 NPPES
Florida MEDICAID 029573621

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