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Organization
LAKE COUNTY HEARING CLINIC INC
Active
Organization
LAKE COUNTY HEARING CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL DAVENPORT AUD (PRESIDENT)
(352) 343-4488
Entity
Organization
Contact information
Practice address
3210 WATERMAN WAY, TAVARES, FL 32778-5243
(352) 343-4488
(352) 343-7722
Mailing address
3210 WATERMAN WAY, TAVARES, FL 32778-5243
(352) 343-4488
(352) 343-7722
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
FL
Other
Enumeration date
05/22/2006
Last updated
08/14/2007
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