THE DEVEREUX FOUNDATION NPI 1104980259

NPI Information

NPI: 1104980259
Provider Name: THE DEVEREUX FOUNDATION
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1152 N UNIVERSITY DR STE 200
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 731-7665
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THE DEVEREUX FOUNDATION is a community health clinic center in Pembroke Pines, FL. THE DEVEREUX FOUNDATION NPI is 1104980259. The provider is registered as an organization entity type.

The provider's business location address is:

1152 N UNIVERSITY DR STE 200
PEMBROKE PINES, FL
ZIP 33024-012
Phone: (954) 731-7665

The provider's authorized official is Gwen Skinner .
The authorized official title is Executive Director and has the following contact phone number (407) 362-9210.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	767753701	MEDICAID	FLORIDA
2	767753700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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