Organization
DAVENPORT PEDIATRICS CLERMONT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIL H KHAN M.D. (PHYSICIAN)
(352) 394-7728
Entity
Organization
Contact information
Practice address
1528 SUNRISE PLAZA DR STE 1, CLERMONT, FL 34714-6203
(352) 394-7728
(352) 394-6369
Mailing address
1528 SUNRISE PLAZA DR STE 1, CLERMONT, FL 34714-6203
(352) 394-7728
(352) 394-6369
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
07/18/2011
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