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Dr. David E. Provencher JR., MD
Allergy & Immunology Physician in Plant City, Florida
NPI 1326098120

David E. Provencher JR. is an Allergy & Immunology Physician based in Plant City, FL. David E. Provencher JR. practices in Plant City, FL and has the professional credentials of MD. The NPI Number for David E. Provencher JR. is 1326098120 and holds a License No. ME81615 (Florida).

The current practice location address for David E. Provencher JR. is 106 Southern Oak Drive, Plant City, FL and can be reached out via phone at 813-752-8595 and via fax at 813-752-8088. You can also correspond with David E. Provencher JR. through the mailing address at PO BOX 2156, PLANT CITY, FL - 33564-2156 (mailing address contact number: 813-486-2085).

Location: 106 Southern Oak Drive, Plant City, FL, 33564-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326098120
Provider Name
David E. Provencher JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
106 Southern Oak Drive, Plant City, FL, 33564-2156
Phone Number
813-752-8595
Fax Number
813-752-8088
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
262145201 05 FL
institution
Provider Business Practice Location Address Details
Address
106 Southern Oak Drive
City
Plant City
State
Florida
Zip
33563
Phone Number
813-752-8595
Fax Number
813-752-8088
person
Provider Business Mailing Address Details
Address
106 Southern Oak Drive
City
Plant City
State
Florida
Zip
33563
Phone Number
813-752-8595
Fax Number
813-752-8088
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
207K00000X
License No.
ME81615 (Florida)
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Allergy/Immunology
Taxonomy
2080P0201X
License No.
ME81615 (Florida)
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
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