SearchFloridaGeneral Practice Dentistry

Philip Provenzale, DDS

NPI 1124240908 · on the registry since 2007

Practice

Address
417 Nw 16th St
Suite 8
Belle Glade, FL 33430
Phone
(561) 996-3700
Fax
(561) 996-9261
Organisation at this address
All Professional Community Medical Center Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida