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1033125109
JOHN D DAVENPORT
JACKSONVILLE, FL
NPI
1033125109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME63715)
Enumeration Date
2006-07-31
Last Update Date
2015-11-16
Business Address
Dr. JOHN D DAVENPORT MD
820 PRUDENTIAL DR STE 304 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207-8205
Phone number: 904-346-3649
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Mailing Address
Dr. JOHN D DAVENPORT MD
PO BOX 44004
JACKSONVILLE, FL 32231-4004
Phone number: 904-202-1032
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