Individual
DR. MATTHEW DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, PHD
Contact information
Practice address
3250 SW 41ST PL, GAINESVILLE, FL 32608-2600
(352) 378-1558
Mailing address
7728 SW 90TH LN, GAINESVILLE, FL 32608-6257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10634
FL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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