Davenport, Joseph P.

Davenport, Joseph P. is an individual health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Davenport, Joseph P. can be contacted via phone (850) 505-4700.

Contact Information

Primary practice address
5153 N 9Th Ave Pensacola FL 32504-8785
Phone: (850) 505-4700
Fax: (850) 473-4515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME69456 Florida

Profile Details

NPI number 1356368963
LBN Legal business name Davenport, Joseph P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356368963 NPPES
Alabama MEDICAID 009711160
Alabama MEDICAID 00123090
Alabama MEDICAID 379494600

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