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Contact Information

JAMES E PROVO, MD
4705 N FEDERAL HWY
BOCA RATON, FL33431-5135
 Phone: 561-220-2622
 Fax: 561-257-1922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JAMES E PROVO · (Male)

NPI # 1346278264
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 06/06/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME67309
  • FL Medicaid 377506200
  • FL Other 27095 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • BOCA RATON REGIONAL HOSPITAL - (Acute Care)
    800 MEADOWS RD
    BOCA RATON, FL 33486
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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