NPIMap

Organization Active NPI

Devereux

  • Community Health Clinic/Center
  • Orlando, FL
National Provider Identifier
1962835686
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DEVEREUX
Practice address
1010 Executive Center Dr
Orlando, FL 32803-3529
Phone
(407) 367-1665
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicky Herrick, M.A.
Title
Clinician
Phone
(407) 963-7873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X FL Primary

Addresses

Primary practice location

1010 Executive Center Dr
Orlando, FL 32803-3529

Mailing address

5850 T G Lee Blvd
Orlando, FL 32822-4407

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida331 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1010 Executive Center Dr
Orlando, FL 32803
Phone (321) 281-3840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1962835686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 T G LEE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE CENTER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033529",
            "telephone_number": "407-367-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "407-963-7873",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.