Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID E. PROVENCHER JR., M.D.
Active Sole ProprietorDR. DAVID E. PROVENCHER JR., M.D. is a Allergy & Immunology healthcare provider located in PLANT CITY, Florida. NPI 1326098120 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · PLANT CITY, FL
Registration Details
- NPI Number
- 1326098120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.297553115602 yrs)
- Last Updated
- Jan 16, 2020
- Licenses
-
ME81615 (FL)ME81615 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 SOUTHERN OAK DRIVEPLANT CITY, FL, 33563Browse FL providers · Browse ZIP 33563
- Phone
- 8137528595
- Fax
- 8137528088
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Allergy & Immunology
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.