Organization
ALEX DAVENPORT MD PC
Active
Parent organization
ALEX DAVENPORT MD PC
Other names
James Alexander Davenport MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEX DAVENPORT MD PC
Authorized official
DIANA RYAN DAVENPORT (OFFICE MANAGER)
(850) 656-1997
Entity
Organization
Contact information
Practice address
2418 E PLAZA DRIVE, TALLAHASSEE, FL 32308-5301
(850) 656-1997
(850) 656-1936
Mailing address
PO BOX 14266, TALLAHASSEE, FL 32317-4266
(850) 656-1997
(850) 656-1936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME25681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059400800
—
FL
Enumeration date
08/31/2007
Last updated
01/25/2012
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