Dr. David E. Provencher JR.
Allergist & Immunologist Pediatric Allergist
106 Southern Oak Drive
Plant City
, Florida 33563
Dr. David E. Provencher JR.
Allergist & Immunologist Pediatric Allergist
106 Southern Oak Drive
Plant City
, Florida 33563
(813) 486-2085
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. David E. Provencher JR.
- Po Box 2156
- Plant City, FL
- Zip : 33564-2156
- Phone : (813) 486-2085
Second Address
- Dr. David E. Provencher JR.
- 106 Southern Oak Drive
- Plant City, FL
- Zip : 33563
- Fax : (813) 752-8088
- Phone : (813) 752-8595
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FAQs
Where did Dr. David E. Provencher JR. attend graduate school?
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Is Dr. David E. Provencher JR. board certified?
What type of doctor is Dr. David E. Provencher JR.
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Where is Dr. David E. Provencher JR.’s practice located?
What is Dr. David E. Provencher JR.’s gender?
Is Dr. David E. Provencher JR. a sole practitioner?
Is Dr. David E. Provencher JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | ME81615 | FL |
| N | 2080P0201X | Pediatric Allergist | ME81615 | FL |
National Provider Identifier
| NPI | 1326098120 |
|---|---|
| Provider Name | Dr. David E. Provencher JR. |
| First Address | Plant City, FL 33564-2156 |
| Second Address | Plant City, FL 33563 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2006 |
| Last Update Date | 16/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 262145201 | (05) | FL |
| H46274 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.