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DAVENPORT MEDICAL CENTER LLC
NPI 1144306036
Internal Medicine in Davenport, FL

Active since October 31, 2006
2502 SAND MINE RD, DAVENPORT, FL 33897(863) 420-4077(863) 420-4087 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davenport Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT MEDICAL CENTER LLC (NPI 1144306036) is a healthcare organization registered as an internal medicine in Davenport, Florida and active in the NPI registry since October 2006. The organization lists Aftab Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1144306036
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVENPORT MEDICAL CENTER LLC
Location Address2502 SAND MINE RDDavenport, FL 33897-3402
Mailing AddressPo Box 22927Orlando, FL 32830-2927 · (863) 420-4077 · Fax (863) 420-4087
Phone(863) 420-4077
Fax(863) 420-4087
Organization SubpartNo
Authorized OfficialAftab KhanOwner · (863) 420-4077
Enumeration DateOctober 31, 2006
Last NPPES UpdateApril 18, 2011
✔ NPI 1144306036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME86482
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2502 SAND MINE RD, Davenport, FL 33897
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Other Identifiers 1

Medicare ID-Type UnspecifiedK5260FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. K WADE FOSTER MD, PA
Dermatology (MOHS-Micrographic Surgery)
2502 SAND MINE RD
DAVENPORT, FL 33897
Polk County (855) 353-7546
AFTAB A KHAN M.D.
Internal Medicine
2502 SAND MINE RD
DAVENPORT, FL 33897
Polk County (863) 420-4077
STEPHAN THORNTON MS, ARNP
Nurse Practitioner (Adult Health)
2502 SAND MINE RD
DAVENPORT, FL 33897
Polk County (855) 353-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davenport Medical Center LLC's NPI number?

The NPI number for Davenport Medical Center LLC is 1144306036. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Davenport Medical Center LLC located?

Davenport Medical Center LLC is located at 2502 Sand Mine Rd, Davenport, FL 33897. The listed phone number is (863) 420-4077.

What is Davenport Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Davenport Medical Center LLC was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.