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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM J PROVANCE, DO

Deactivated

WILLIAM J PROVANCE, DO is a Gastroenterology healthcare provider located in NAPLES, Florida. NPI 1174517403 is deactivated in the NPPES registry. Verify at CMS.

Gastroenterology · NAPLES, FL

This NPI has been deactivated. The record was deactivated on March 24, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1174517403
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2005 (0.55890410958904 yrs)
Last Updated
Sep 4, 2014
Deactivated
Mar 24, 2006
License
OS12406 (FL)

Practice Information

Address
681 GOODLETTE RD N
STE 130
NAPLES, FL, 341025458
Browse FL providers · Browse ZIP 34102
Phone
2396439767
Fax
2396495878
Primary Specialty
Gastroenterology
207RG0100X

Other Gastroenterology Providers in NAPLES, FL

Name Credential NPI
MISS MARIA T VALDES MD 1902890809
DR. STEVEN ARTHUR MECKSTROTH M.D. 1073508123
MICHAEL COHEN M.D. 1841281912
DR. MANUEL FABIAN BUSTAMANTE M.D. 1568411809
DR. GUY WINZENRIED MD 1578500310
DR. SCOTT L WIESEN MD 1831130814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.