| 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 | 
|---|---|
| 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 | 
| New York University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 Quantum Blvd, Boynton Beach, FL 33426 Phone: 877-648-2964 | |
| Sf Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9868 S State Road 7 Ste 330, Boynton Beach, FL 33472 Phone: 954-240-6108 | |
| Gastro Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 S Seacrest Blvd Ste 240, Boynton Beach, FL 33435 Phone: 561-732-2900 Fax: 561-734-9240 | |
| Wellness America Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2828 S Seacrest Blvd Ste 213, Boynton Beach, FL 33435 Phone: 561-536-3166 | |
| Laurence Ehrlich Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10151 Enterprise Center Blvd, Suite 205, Boynton Beach, FL 33437 Phone: 561-732-8102 Fax: 561-732-8401 | |
| New York University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3301 Quantum Blvd, Boynton Beach, FL 33426 Phone: 877-648-2964 | |
| New York University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 Quantum Blvd, Boynton Beach, FL 33426 Phone: 877-648-2964 |