Provo, James E

Provo, James E is an sole proprietor health care provider with primary practice located at 4705 N Federal Hwy , Boca Raton FL 33431-5135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Provo, James E can be contacted via phone (561) 220-2622.

Contact Information

Primary practice address
4705 N Federal Hwy Boca Raton FL 33431-5135
Phone: (561) 220-2622
Fax: (561) 257-1922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME67309 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME67309 Florida

Profile Details

NPI number 1346278264
LBN Legal business name Provo, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Jun 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346278264 NPPES
Florida MEDICAID 377506200
Florida Other 27095

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