CHARLES J DAVENPORT

VENICE, FL
NPI1730116872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME60801)
Enumeration Date2006-06-26
Last Update Date2011-09-09
Business Address
-- CHARLES J DAVENPORT MD
512 NOKOMIS AVE S
VENICE, FL 34285-2817
Phone number: 941-488-7781
Mailing Address
-- CHARLES J DAVENPORT MD
PO BOX 1508
VENICE, FL 34284-1508
Phone number: 941-488-7781
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