MEDICARE: THE DEVEREUX FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1922290170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DEVEREUX FOUNDATION

Provider Business Mailing Address
First Line	:	5850 TG LEE BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4407
Country	:	US
Telephone Number	:	407-362-9210
Fax Number	:

Provider Business Practice Location Address
First Line	:	442 GALLAGHER ST SW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32908-4727
Country	:	US
Telephone Number	:	321-409-2164
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MICHAEL C BECKER
Credential	:
Telephone Number	:	407-362-9210

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/13/2007

Similar Medicare Providers

1457711939 — DEVEREUX FOUNDATION
Practice Location Address:

442 GALLAGHER ST SW
PALM BAY, FL
32908-4727

Practice Phone: 321-709-2164
Practice Fax:

1598282188 — ANDREA R GARDNER-YOUNG LPC, CMHC
Practice Location Address:

1995 NEWMARK AVE # 1017
COOS BAY, OR
97420-4727

Practice Phone:
Practice Fax:

1548910326 — DARLA G KAIPAINEN RN
Practice Location Address:

4 WOODSIDE AVE
BUZZARDS BAY, MA
02532-4727

Practice Phone: 508-273-5523
Practice Fax:

1316037872 — JUAN VELEZ
Practice Location Address:

7500 S DIXIE HWY
WEST PALM BEACH, FL
33405-4727

Practice Phone: 561-242-9450
Practice Fax: 561-242-9454

1669550893 — MILLENNIUM REHABILITATION CENTER, INC
Practice Location Address:

3676 COLLIN DR , SUITE # 8-9
WEST PALM BEACH, FL
33406-4727

Practice Phone: 561-967-4619
Practice Fax: 561-967-4620

1245419605 — MILLENNIUM REHABILITATION CENTER INC
Practice Location Address:

3676 COLLIN DR , SUITE 8-9
WEST PALM BEACH, FL
33406-4727

Practice Phone: 561-967-4619
Practice Fax:

Directions to “THE DEVEREUX FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.