Organization
JAMES D DAVENPORT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D DAVENPORT MD (DIRECTOR)
(305) 666-4633
Entity
Organization
Contact information
Practice address
6200 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-4828
(305) 666-4633
(305) 487-3323
Mailing address
6200 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-4828
(305) 666-4633
(305) 487-3323
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME96446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME96446
MEDICAL LICENSE
FL
Enumeration date
10/04/2008
Last updated
01/15/2013
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