Marion Davenport in Melbourne - Gerontology

Marion Davenport - NPI 1053376723

Marion Davenport is a Gerontology in Melbourne, Florida. Marion Davenport practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Marion Davenport is 1053376723. The last update date is 2010-07-01.

Marion Davenport's current location address is 930 S Harbor City Blvd, Melbourne, Florida. You can contact this provider via phone number 3217255050 and fax number 3217259100. The mailing address for Marion Davenport is 930 S Harbor City Blvd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Marion Davenport
Address 930 S Harbor City Blvd, Melbourne, Florida
Phone Number 3217255050
Fax Number 3217259100
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1053376723
Provider Enumeration Date 2006-04-18
Last Updated Date 2010-07-01

Provider Mailing Address Detail

Address 930 S Harbor City Blvd
City Melbourne
State Florida (FL)
Post Code 32901
Phone Number 3217255050
Fax Number 3217259100

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No ARNP1415672
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
303140300 FL --

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FAQs about Marion Davenport

What is the unique 10-digit identification code issued to Marion Davenport by the Centers for Medicare & Medicaid Services?

The Marion Davenport has been assigned the NPI (National Provider Identifier) 1053376723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Marion Davenport is physically located?

The Marion Davenport is physically situated at the following address: 930 S Harbor City Blvd, Melbourne, FL, 32901.

What is Marion Davenport's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marion Davenport is Gerontology, and the taxonomy classification code that categorizes this area of expertise is 363Lg0600X.

When did the Marion Davenport receive its 1053376723?

The Marion Davenport was issued its 1053376723 on 2006-04-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Marion Davenport most recently updated or revised?

The information pertaining to Marion Davenport, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-01.

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