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Organization

DAVENPORT PEDIATRICS P D

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIN SOO JANG (OFFICE MANAGER)
(270) 807-8431
Entity
Organization

Contact information

Practice address
113 SW 5TH CT, APT 1, DANIA BEACH, FL 33004-3589
(270) 807-8431
Mailing address
113 SW 5TH CT,, APT 1, DANIA BEACH, FL 33004-3589
(270) 807-8431

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/05/2026
Last updated
05/06/2026
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