Dr. David E. Provencher Jr., MD
Dr. David E. Provencher Jr., MD is an Allergy/Immunology in Plant City, Florida. Graduated from University of South Florida College of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 30
- Trained at
- University of South Florida College of Medicine
- Licensed in
- FL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
106 Southern Oak DrPlant City, FL 33563
Phone: (813) 752-8595
Fax: (813) 752-8088
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy & Immunology Physician (primary) | Taxonomy 207K00000X · Licence ME81615 (FL) |
|---|---|
| Pediatric Allergy/Immunology Physician | Taxonomy 2080P0201X · Licence ME81615 (FL) |
Record details
| NPI number | 1326098120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2006 |
| Last updated in NPPES | January 16, 2020 |
| Certification date | January 16, 2020 |
| Mailing address | Po Box 2156, Plant City, FL 33564-2156 |
Medicare enrollment
| Medicare specialty | ALLERGY/IMMUNOLOGY |
|---|---|
| Medical school | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |