JAMES E PROVO

BOCA RATON, FL
NPI1346278264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: FL  ME67309)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: FL  ME67309)
Enumeration Date2006-06-29
Last Update Date2024-06-06
Business Address
JAMES E PROVO MD
4705 N FEDERAL HWY
BOCA RATON, FL 33431-5135
Phone number: 561-220-2622
Mailing Address
JAMES E PROVO MD
180 JOHN F KENNEDY DR STE 100
ATLANTIS, FL 33462-6641
Phone number: 561-967-6500