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Organization
GERIATRIC PHYSICIANS, INC
Active
Organization
GERIATRIC PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVENPORT MD (PRESIDENT)
(321) 433-0776
Entity
Organization
Contact information
Practice address
1490 POLARIS ST, MERRITT ISLAND, FL 32953-3127
(213) 433-0776
(954) 944-0308
Mailing address
1490 POLARIS ST, MERRITT ISLAND, FL 32953-3127
(321) 433-0776
(954) 944-0308
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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