James Alexander Davenport Md

LBN: Alex Davenport Md Pc
James Alexander Davenport Md is an health care organization with primary practice located at 2418 E Plaza Drive , Tallahassee FL 32308-5301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Alex Davenport Md Pc can be contacted via phone (850) 656-1997, or through Davenport, Diana Ryan via phone (850) 656-1997.

Contact Information

Primary practice address
2418 E Plaza Drive Tallahassee FL 32308-5301
Phone: (850) 656-1997
Fax: (850) 656-1936
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Diana Ryan
Phone: (850) 656-1997

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME25681 Florida

Profile Details

NPI number 1669666764
LBN Legal business name Alex Davenport Md Pc
DBA Doing business as James Alexander Davenport Md
Authorized official Davenport, Diana Ryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2007
Last updated Jan 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669666764 NPPES
Florida MEDICAID 059400800

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