Davenport, Christopher Vernon

Davenport, Christopher Vernon is an individual health care provider with primary practice located at 207 Palmola St , Lakeland FL 33803-2242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Davenport, Christopher Vernon can be contacted via phone (863) 646-9600.

Contact Information

Primary practice address
207 Palmola St Lakeland FL 33803-2242
Phone: (863) 646-9600
Fax: (330) 422-6245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME87596 Florida

Profile Details

NPI number 1356347702
LBN Legal business name Davenport, Christopher Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 24th, 2020 - about 6 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 1356347702 NPPES
Florida MEDICAID 268435700

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