Individual
DR. JOSEPH P. DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 505-4700
(850) 473-4515
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME69456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123090
—
MS
05
—
009711160
—
AL
05
—
379494600
—
FL
Enumeration date
07/17/2006
Last updated
09/13/2011
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