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James
James
Provo
Medical doctor
Emergency medicine
Boca Raton, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
JAMES PROVO
Job Title
Medical Doctor
Location
Boca Raton, FL, USA
Title
MD
LIC ID
58190
Current License Expiration Date
31/01/2026
Original Date
10/11/1994
Professional Rank Code
ME
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Practice Location Address Line 1
4705 N. FEDERAL HWY.
Practice Location Address City
BOCA RATON
Practice Location Address State
FL
Practice Location Address Zipcode
33431
Prescribing Indicator
N
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