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

James E Provo, MD

Individual provider Emergency Medicine Physician · NPI 1346278264

James E Provo, MD is an Emergency Medicine in Boca Raton, Florida. Graduated from University of Florida College of Medicine in 1990, 36 years ago. Practices with Rehabclinics PTA Inc, a 219-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Trained at
University of 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.

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Practice location Address checks out

4705 N Federal Hwy
Boca Raton, FL 33431-5135
Phone: (561) 220-2622
Fax: (561) 257-1922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence ME67309 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME67309 (FL)

Record details

NPI number1346278264
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2006
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address180 John F Kennedy Dr Ste 100, Atlantis, FL 33462-6641

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Rehabclinics Pta Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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