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Charles J Davenport, MD
Diagnostic Radiology Physician in Venice, Florida
NPI 1730116872

Charles J Davenport is a Diagnostic Radiology Physician based in Venice, FL and is specialized in Diagnostic Radiology. Charles J Davenport practices in Venice, FL and has the professional credentials of MD. The NPI Number for Charles J Davenport is 1730116872 and holds a License No. ME60801 (Florida).

The current practice location address for Charles J Davenport is 512 Nokomis Ave S, Venice, FL and can be reached out via phone at 941-488-7781 and via fax at 941-486-8991.

Location: 512 Nokomis Ave S, Venice, FL, 34284-1508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730116872
Provider Name
Charles J Davenport
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
512 Nokomis Ave S, Venice, FL, 34284-1508
Phone Number
941-488-7781
Fax Number
941-486-8991
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
262992500 05 FL
institution
Provider Business Practice Location Address Details
Address
512 Nokomis Ave S
City
Venice
State
Florida
Zip
34285-2817
Phone Number
941-488-7781
Fax Number
941-486-8991
person
Provider Business Mailing Address Details
Address
512 Nokomis Ave S
City
Venice
State
Florida
Zip
34285-2817
Phone Number
941-488-7781
Fax Number
941-486-8991
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME60801 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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