Organization
LAKE COUNTY HEARING CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL DAVENPORT AUD (PRESIDENT)
(352) 343-4488
Entity
Organization
Contact information
Practice address
3210 WATERMAN WAY, TAVARES, FL 32778-5243
(352) 343-4488
(352) 343-7722
Mailing address
3210 WATERMAN WAY, TAVARES, FL 32778-5243
(352) 343-4488
(352) 343-7722
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
FL
Other
Enumeration date
05/22/2006
Last updated
08/14/2007
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