National Provider Identifier Database

DAVID E PROVENCHER JR, MD – NPI #1326098120
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

DAVID E PROVENCHER JR, MD
106 SOUTHERN OAK DRIVE
PLANT CITY, FL33563
Phone: 813-752-8595
Fax: 813-752-8088
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X
Pediatric Allergy/Immunology 2080P0201X

* Indicates primary specialty

NPI Profile & details for DAVID E PROVENCHER JR

NPI Number 1326098120
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 01/16/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ME81615
  • FL Medicaid: 262145201
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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