STEPHEN C PROVENZA
Physician Assistant at Colby Crk Dr, Jacksonville, FL

License number
Florida 9101590
Issued Date
May 10, 2001
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Category
Health Care
Type
Physician Assistant
Address
Address 2
11954 Colby Creek Dr, Jacksonville, FL 32258
400 Health Park Blvd, Saint Augustine, FL 32086
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Professional information

Stephen C Provenza Photo 1

Stephen C Provenza, St Augustine FL - PA (Physician assistant; also Posterior–anterior)
Specialties:
Physician Assistant (PA)
Address:
400 Health Park Blvd, St Augustine 32086
(904) 826-4700 (Phone), (904) 346-0113 (Fax)
Languages:
English
Hospitals:
400 Health Park Blvd, St Augustine 32086
Flagler Hospital
400 Health Park Blvd, Saint Augustine 32086

Stephen C Provenza Photo 2

Stephen C Provenza, St Augustine FL
Specialties:
Physician Assistant
Address:
400 Health Park Blvd, St Augustine, FL 32086

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