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Organization

STUART EYE INSTITUTE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM H DAVENPORT MD (PRESIDENT)
(772) 287-8777
Entity
Organization

Contact information

Practice address
2090 SE OCEAN BLVD, STUART, FL 34996
(772) 287-8777
(772) 287-4762
Mailing address
2090 SE OCEAN BLVD, STUART, FL 34996
(772) 287-8777
(772) 287-4762

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261794300
FL
Enumeration date
02/09/2006
Last updated
04/28/2010
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