Davenport, James Alexander

Davenport, James Alexander is an sole proprietor health care provider with primary practice located at 2418 E Plaza Dr , Tallahassee FL 32308-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Davenport, James Alexander can be contacted via phone (850) 656-1997.

Contact Information

Primary practice address
2418 E Plaza Dr Tallahassee FL 32308-5301
Phone: (850) 656-1997
Fax: (850) 656-1936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME25681 Florida

Profile Details

NPI number 1760435002
LBN Legal business name Davenport, James Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Feb 2nd, 2010 - about 16 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 1760435002 NPPES
Florida MEDICAID 059400800

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