Davenport, Charles J

Davenport, Charles J is an individual health care provider with primary practice located at 512 Nokomis Ave S , Venice FL 34285-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davenport, Charles J can be contacted via phone (941) 488-7781.

Contact Information

Primary practice address
512 Nokomis Ave S Venice FL 34285-2817
Phone: (941) 488-7781
Fax: (941) 486-8991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME60801 Florida

Profile Details

NPI number 1730116872
LBN Legal business name Davenport, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Sep 9th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730116872 NPPES
Florida MEDICAID 262992500

Popular Providers