Organization
CHRISTOPHER DAVENPORT MD MBA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER VERNON DAVENPORT M.D. (PRESIDENT)
(863) 646-9600
Entity
Organization
Contact information
Practice address
207 PALMOLA ST, LAKELAND, FL 33803-2242
(863) 646-9600
(330) 422-6245
Mailing address
207 PALMOLA ST, LAKELAND, FL 33803-2242
(863) 646-9600
(330) 422-6245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0087596
FL
Other
Enumeration date
03/10/2008
Last updated
11/24/2020
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