James E Provo, MD | |
4705 N Federal Hwy, Boca Raton, FL 33431-5135 | |
(561) 220-2622 | |
(561) 257-1922 |
Full Name | James E Provo |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 35 Years |
Location | 4705 N Federal Hwy, Boca Raton, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346278264 | NPI | - | NPPES |
377506200 | Medicaid | FL | |
27095 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME67309 (Florida) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | ME67309 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boca Raton Regional Hospital | Boca raton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic Center Of Palm Beach County, Llc | 7315922309 | 29 |
Entity Name | Orthopedic Center Of Palm Beach County, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114079738 PECOS PAC ID: 7315922309 Enrollment ID: O20040623000552 |
Mailing Address | Practice Location Address |
---|---|
James E Provo, MD 180 John F Kennedy Dr Ste 100, Atlantis, FL 33462-6641 Ph: (561) 967-6500 | James E Provo, MD 4705 N Federal Hwy, Boca Raton, FL 33431-5135 Ph: (561) 220-2622 |
Dr. Joel Shlian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3148 Nw 63rd St, Boca Raton, FL 33496 Phone: 561-988-8780 Fax: 561-988-8794 | |
Smita V Deshpande, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Glades Rd # Ss 8w240, Boca Raton, FL 33431 Phone: 610-969-3390 Fax: 610-969-3393 | |
Victor Hugo Espinosa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5458 Town Center Rd Ste 17, Boca Raton, FL 33486 Phone: 561-465-3507 Fax: 561-465-3567 | |
Dr. Richard Ross Golden, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7458 Campo Florido, Boca Raton, FL 33433 Phone: 561-376-8744 | |
Allyson Christina Bagenholm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 Clint Moore Rd Ste 202, Boca Raton, FL 33496 Phone: 561-757-5530 Fax: 561-430-3590 | |
Hal Scott Bendit, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9030 Kimberly Blvd, Boca Raton, FL 33434 Phone: 561-488-2300 Fax: 561-487-6704 | |
Yihong Joy Hao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 N Military Trl Ste 101, Boca Raton, FL 33431 Phone: 561-998-0309 Fax: 561-372-0316 |