Organization
DAVENPORT MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFTAB KHAN MD (OWNER)
(863) 420-4077
Entity
Organization
Contact information
Practice address
2502 SAND MINE RD, DAVENPORT, FL 33897-3402
(863) 420-4077
(863) 420-4087
Mailing address
PO BOX 22927, ORLANDO, FL 32830-2927
(863) 420-4077
(863) 420-4087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME86482
FL
Other
Enumeration date
10/31/2006
Last updated
04/18/2011
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