Provost, Michael John

Provost, Michael John is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Provost, Michael John can be contacted via phone (352) 265-0077.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-0077
Fax: (352) 265-6922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA41 Florida

Profile Details

NPI number 1013242619
LBN Legal business name Provost, Michael John
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Feb 15th, 2010 - about 14 years ago

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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