Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Paul David Provenzano, DPT

Individual provider Physical Therapist · NPI 1275901878

Dr. Paul David Provenzano, DPT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

14546 Old Saint Augustine Rd
Jacksonville, FL 32258-5468
Phone: (904) 271-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT30384 (FL)

Record details

NPI number1275901878
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2015

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