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DEVEREUX FLORIDA
NPI 1366704074
Clinic/Center - Community Health in Orlando, FL

Active since June 10, 2012
1010 EXECUTIVE CENTER DR, 100, ORLANDO, FL 32803(321) 281-3840 Get Directions Write a Review

NPPES record last updated: June 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devereux Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVEREUX FLORIDA (NPI 1366704074) is a healthcare organization registered as a community health in Orlando, Florida and active in the NPI registry since June 2012. The organization lists Jose R Mendoza, Therapist, as its authorized official.

NPPES Registry Identity

NPI1366704074
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameDEVEREUX FLORIDA
Location Address1010 EXECUTIVE CENTER DR, 100Orlando, FL 32803-3529
Mailing Address1010 Executive Center Dr, 100Orlando, FL 32803-3529 · (321) 281-3840
Phone(321) 281-3840
Organization SubpartNo
Authorized OfficialJose R MendozaTherapist · (321) 281-3840
Enumeration DateJune 10, 2012
✔ NPI 1366704074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
1010 EXECUTIVE CENTER DR, Orlando, FL 32803
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Other Identifiers 1

Medicaid029573621FL

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL DELOACH
Case Manager/Care Coordinator
1010 EXECUTIVE CENTER DR, SUITE 250
ORLANDO, FL 32803
Orange County (407) 367-1560
MRS. FAITH SCOTT MSW
Social Worker
1010 EXECUTIVE CENTER DR, SUITE 100
ORLANDO, FL 32803
Orange County (321) 281-3840
LISA MCREYNOLDS LMHC
Counselor (Mental Health)
1010 EXECUTIVE CENTER DR, SUITE #100
ORLANDO, FL 32803
Orange County (321) 281-3840
MS. ALLYSON MARY NIEMIER BS
Social Worker
1010 EXECUTIVE CENTER DR
ORLANDO, FL 32803
Orange County (407) 505-9172
TIA R LLEWELLYN
Case Manager/Care Coordinator
1010 EXECUTIVE CENTER DR, SUITE 250
ORLANDO, FL 32803
Orange County (407) 367-1560
JAMIE ANN BURGMAN B.A.
Case Manager/Care Coordinator
1010 EXECUTIVE CENTER DR
ORLANDO, FL 32803
Orange County (321) 281-3840
MRS. LESLEY FAYE GREEN M.S., BCBA
Behavior Analyst
1010 EXECUTIVE CENTER DR, SUITE 100
ORLANDO, FL 32803
Orange County (321) 281-3840
LATRESSA J FUDGE MSW
Social Worker
1010 EXECUTIVE CENTER DR
ORLANDO, FL 32803
Orange County (407) 920-3321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devereux Florida's NPI number?

The NPI number for Devereux Florida is 1366704074. It was assigned to this organization in the NPPES registry on June 10, 2012.

Where is Devereux Florida located?

Devereux Florida is located at 1010 Executive Center Dr 100, Orlando, FL 32803. The listed phone number is (321) 281-3840.

What is Devereux Florida's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Devereux Florida was last updated on June 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.