J M Provenzano Md Pa | |
906 S Federal Hwy Ste A Boynton Beach FL 33435-5671 | |
(561) 736-7330 | |
(561) 736-7388 |
Full Name | J M Provenzano Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 906 S Federal Hwy Ste A, Boynton Beach, Florida |
Authorized Official Name and Position | Joseph Michael Provenzano (PRESIDENT) |
Authorized Official Contact | 5617367330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J M Provenzano Md Pa 906 S Federal Hwy Ste A Boynton Beach FL 33435-5671 Ph: (561) 736-7330 | J M Provenzano Md Pa 906 S Federal Hwy Ste A Boynton Beach FL 33435-5671 Ph: (561) 736-7330 |
NPI Number | 1316283260 |
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Provider Enumeration Date | 12/21/2012 |
Last Update Date | 12/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316283260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 51311 (Florida) | Primary |
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