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

Michael John Provost, AA

Individual provider Anesthesiologist Assistant · NPI 1013242619

Michael John Provost, AA is an Anesthesiology Assistant in Gainesville, Florida. Qualified in 2009, 17 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 265-0077
Fax: (352) 265-6922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA41 (FL)

Record details

NPI number1013242619
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedOctober 15, 2009
Last updated in NPPESFebruary 15, 2010
Mailing addressPo Box 918025, Orlando, FL 32891-8025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Gainesville