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Individual

DR. WILLIAM CLARK DAVENPORT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
345 W MICHIGAN ST, SUITE 114, ORLANDO, FL 32806-4465
(407) 843-9083
(407) 420-2900
Mailing address
345 W MICHIGAN ST, SUITE 114, ORLANDO, FL 32806-4465
(407) 843-9083
(407) 420-2900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME61237
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5079007
AETNA
FL
01
9834350
CIGNA
FL
Enumeration date
04/04/2006
Last updated
07/08/2007
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