Individual
WILLIAM H DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 SE OCEAN BLVD, STUART, FL 34996-3304
(772) 287-8777
(772) 287-1996
Mailing address
2090 SE OCEAN BLVD, STUART, FL 34996-3304
(772) 287-8777
(772) 287-1996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0048783
FL
207W00000X
Ophthalmology Physician
Primary
ME48783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0641030001
PTAN
FL
Enumeration date
05/18/2006
Last updated
03/14/2016
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