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David Provencher, M.D
NPI 1326098120 · on the registry since 2006 · sole proprietor
Practice
- Address
- 106 Southern Oak Drive
Plant City, FL 33563 - Phone
- (813) 752-8595
- Fax
- (813) 752-8088
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Also registered as
- 2080P0201X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-16
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