David E Provencher Jr. (NPI# 1326098120, PAC ID# 7719880608) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1326098120 |
| PAC ID by PECOS | 7719880608 |
| Professional Enrollment ID | I20040128001097 |
| Full Name | David E Provencher Jr. |
| Address |
106 Southern Oaks Dr Plant City FL 33563-1446 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 106 Southern Oaks Dr, Plant City, FL 33563-1446 |
| Street Address |
106 SOUTHERN OAKS DR |
| City | PLANT CITY |
| State | FL |
| Zip | 33563-1446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orvil L Ayala | Anesthesiology | 110 Southern Oaks Dr, Plant City, FL 33563-1446 | |
| Steve W Smith | Internal Medicine | 102 Southern Oaks Dr, Plant City, FL 33563-1446 | |
| Keith Whitehead | Obstetrics/gynecology | Womens Care Florida LLC | 103 Southern Oaks Dr, Plant City, FL 33563-1451 |
| Ginger Singletary | Nurse Practitioner | 802 W Mlk Jr Blvd C, Plant City, FL 33563-1505 | |
| Glenn Turner | Nurse Practitioner | Thomas A Digeronimo Md Pa | 3302 W Baker St, Plant City, FL 33563-2851 |
| Thomas Digeronimo | Neurology | Thomas A Digeronimo Md Pa | 3302 W Baker St, Plant City, FL 33563-2851 |
| Tina N Theobald | Nurse Practitioner | Thomas A Digeronimo Md Pa | 3302 W Baker St, Plant City, FL 33563-2851 |
| Sheri L Mehl | Nurse Practitioner | Thomas A Digeronimo Md Pa | 3302 W Baker St, Plant City, FL 33563-2851 |
| Guy Markley | Chiropractic | Markley Chiropractic and Acupuncture LLC | 1802 W Baker St, Plant City, FL 33563-2912 |
| Robyn M. Mcgarry | Chiropractic | Markley Chiropractic and Acupuncture LLC | 1802 W Baker St, Plant City, FL 33563-2912 |
| Find all physicians in zip 33563 | |||
| City | PLANT CITY |
| Zip Code | 33563 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | PLANT CITY + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on David E Provencher Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.