Organization
EMERE FLORIDA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E PROVO M.D. (VICE PRESIDENT OF OPERATIONS)
(917) 239-5034
Entity
Organization
Contact information
Practice address
9878 CLINT MOORE RD, SUITE 206, BOCA RATON, FL 33496-1037
(561) 405-9610
Mailing address
801 N 500 W, SUITE 100, BOUNTIFUL, UT 84010-6829
(801) 617-2100
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
67309
FL
Other
Enumeration date
03/27/2014
Last updated
04/22/2014
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