PAUL DAVID PROVENZANO

JACKSONVILLE, FL
NPI1275901878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT30384)
Enumeration Date2015-09-14
Last Update Date2015-09-14
Business Address
Dr. PAUL DAVID PROVENZANO DPT
14546 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-5468
Phone number: 904-271-6575
Mailing Address
Dr. PAUL DAVID PROVENZANO DPT
14546 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-5468
Phone number:
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