J M PROVENZANO MD PA (NPI# 1316283260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316283260 |
| Entity Type | Organization |
| Organization Name | J M PROVENZANO MD PA |
| Practice Address |
906 S Federal Hwy Ste A Boynton Beach FL 33435-5671 |
| Practice Telephone | 5617367330 |
| Practice Fax Number | 5617367388 |
| Mailing Telephone | 5617367330 |
| Mailing Fax Number | 5617367388 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |
| Authorized Official Name | JOSEPH MICHAEL PROVENZANO (PRESIDENT) |
| Authorized Official Telephone | 5617367330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 51311 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
906 S FEDERAL HWY STE A |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678244 | A & M Wellness Internal Medicine Practice LLC | Internal Medicine | 3200 S Congress Ave Ste 104, Boynton Beach, FL 33426-9041 | 2020-01-20 |
| 1578123675 | Primary Care Solutions Medical Centers LLC | Internal Medicine | 625 Se 2nd Ave Ste C, Boynton Beach, FL 33435-5065 | 2019-06-19 |
| 1831669241 | Reconnect Care LLC | Internal Medicine | 4110 Key Lime Blvd, Boynton Beach, FL 33436-1608 | 2018-11-28 |
| 1750811444 | Schlein & Shinder | Internal Medicine | 10075 S Jog Rd Ste 207, Boynton Beach, FL 33437-3536 | 2017-06-14 |
| 1073044186 | Khaled Deeb | Internal Medicine | 2393 Nw 7th St, Boynton Beach, FL 33426-8783 | 2017-03-22 |
| 1245656263 | Pure Age Management, LLC | Internal Medicine | 1015 Gateway Blvd, Suite 401, Boynton Beach, FL 33426-8347 | 2014-03-14 |
| 1932521390 | Richard Frederick Kaine | Internal Medicine | 6615 Boynton Beach Blvd, Pmb 343, Boynton Beach, FL 33437-3526 | 2014-01-19 |
| 1992145320 | Gerardo A Guarch | Internal Medicine | 509 Se 6th Ave, Boynton Beach, FL 33435 | 2013-06-30 |
| 1336481522 | April Michelle Thomson | Internal Medicine | 2800 S Seacrest Blvd Ste 180, Boynton Beach, FL 33435 | 2013-03-26 |
| 1154661577 | Frank C Alario Md Pl | Internal Medicine | 406 E Ocean Ave, Boynton Beach, FL 33435-4542 | 2013-02-21 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.