Charles Davenport MD PA

NPI #1043459811 in Sarasota, Florida

Provider Information

NPI Number
1043459811
Entity Type
Organization
Organization Name
Charles Davenport MD PA
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Feb 18, 2009
Last Updated
Feb 18, 2009

Practice Location

Address
1250 S TAMIAMI TRL
Address 2
SUITE 103
State
Florida
ZIP Code
34239-2221
Phone
(941) 951-2100

Authorized Official

Name
CHARLES DAVENPORT, M.D.
Title
MEDICAL DIRECTOR
Phone
(941) 951-2100

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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