CHARLES DAVENPORT MD PA
Radiology at Tamiami Trl, Sarasota, FL

License number
Florida ME60801
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: CHARLES DAVENPORT M.D.
Title: MEDICAL DIRECTOR
Phone: (941) 951-2100
Address
Address
1250 S Tamiami Trl SUITE 103, Sarasota, FL 34239
National Provider ID: 1043459811
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Charles Davenport, M.D., PA

Sarasota, FL  -  Osprey, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Dec 31, 2008
Addresses:
1250 S Tamiami Trl, Sarasota, FL 34239
502 E Macewen Dr, Osprey, FL 34229
State ID:
P09000000260
Business type:
Domestic for Profit Corporation
S:
Charles J. Davenport Director, inactive,Dayani R. Wilson inactive

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