DEVEREUX FLORIDA (NPI# 1154660165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154660165 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FLORIDA |
| Practice Address |
1010 Executive Center Dr Ste 100 Orlando FL 32803-3521 |
| Mailing Address |
5850 T G Lee Blvd Ste 400 Orlando FL 32822-4409 |
| Practice Telephone | 3212813840 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Authorized Official Name | VALERIE CLARY (THERAPIST) |
| Authorized Official Telephone | 4074738316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029573621 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720648322 | Devereux Florida | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4119 Eagle Feather Dr, Orlando, FL 32829-8436 | 2019-06-17 |
| 1174945877 | Devereux Florida | Case Management | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2014-01-15 |
| 1306186077 | Devereux Florida | Foster Care Agency | 1850 Olympian Way, Winter Haven, FL 33881 | 2013-02-18 |
| 1366704074 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr, 100, Orlando, FL 32803-3529 | 2012-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEVEREUX FLORIDA | 444 Devereux Dr, Villanova, PA 19085-1932 |
| Street Address |
1010 EXECUTIVE CENTER DR STE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609092485 | Lindsay Newton | Counselor | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2007-04-18 |
| 1114275294 | Tamisha Major | Counselor | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2012-08-21 |
| 1811259351 | Olivia R Perin | Social Worker | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2012-06-11 |
| 1417133604 | Kelly Davis Schaffer | Psychologist | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1326301706 | Devereux | Clinic/Center | 5850 T G Lee Blvd, Suite 400, Orlando, FL 32822-4407 | 2012-06-20 |
| 1194051946 | Alliance Healthcare Clinic Corp | Clinic/Center | 4311 Anderson Rd, Orlando, FL 32812-7358 | 2009-10-29 |
| 1033653779 | Akeso Behavioral Health Services | Clinic/Center | 6100 Lake Ellenor Dr, #212, Orlando, FL 32809-4614 | 2016-12-15 |
| 1528446887 | The Devereux Foundation | Clinic/Center | 5850 T G Lee Blvd, Orlando, FL 32822-4407 | 2015-05-07 |
| 1962835686 | Devereux | Clinic/Center | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2013-08-16 |
| 1366704074 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr, 100, Orlando, FL 32803-3529 | 2012-06-10 |
| 1790047413 | Michael Charles Cepero | Clinic/Center | 1010 Executive Center Dr, Suite 100, Orlando, FL 32803-3529 | 2012-06-08 |
| 1578740635 | The Devereux Foundation | Clinic/Center | 6147 Christian Way, Orlando, FL 32808-1435 | 2008-01-30 |
| 1194900688 | The Devereux Foundation | Clinic/Center | 6147 Christian Way, Orlando, FL 32808-1435 | 2008-01-03 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on DEVEREUX FLORIDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.