Tyler J Provost
SURFSIDE NON-SURGICAL ORTHOPEDICS


Address: 4600 N Ocean Blvd, Suite 101, Boynton Beach, FL 33435-7365
Phone: 5613304300

Tyler J Provost (NPI# 1588186191, PAC ID# 0143575381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1588186191
PAC ID by PECOS 0143575381
Professional Enrollment ID I20180612002360
Full Name Tyler J Provost
Organization Legal Name SURFSIDE NON-SURGICAL ORTHOPEDICS
Address 4600 N Ocean Blvd
Suite 101
Boynton Beach
FL 33435-7365
Phone Number 5613304300
Gender M
Graduation Year 2015
Primary Specialty FAMILY MEDICINE
Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
Group Practice PAC ID 6406172436
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4600 N Ocean Blvd, Suite 101, Boynton Beach, FL 33435-7365 5613304300 SURFSIDE NON-SURGICAL ORTHOPEDICS

Organization Information

Organization Legal Name SURFSIDE NON-SURGICAL ORTHOPEDICS
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Glenn S Chapman Iii Sports Medicine Surfside Non-surgical Orthopedics 4600 N Ocean Blvd, Suite 101, Boynton Beach, FL 33435-7365

Office Location

Street Address 4600 N OCEAN BLVD
SUITE 101
City BOYNTON BEACH
State FL
Zip 33435-7365

Physicians in the same location

Name Specialty Organization Address
Glenn S Chapman Iii Sports Medicine Surfside Non-surgical Orthopedics 4600 N Ocean Blvd, Suite 101, Boynton Beach, FL 33435-7365

Physicians in the same zip code

Name Specialty Organization Address
Jose J Stable Internal Medicine 2602 N Federal Hwy, Boynton Beach, FL 33435-2413
Jean L Renelien Internal Medicine 1315 N Federal Hwy, North General Plaza, Boynton Beach, FL 33435-2810
Dervi Ganesh Obstetrics/gynecology 211 E Boynton Beach Blvd, Boynton Beach, FL 33435-3839
Randall Lee Ebling Chiropractic 209 W Boynton Beach Blvd, Boyton Beach, FL 33435-4022
Ty Swartzlander Obstetrics/gynecology Florida Woman Care LLC 625 Casa Loma Blvd, Suite 102, Boynton Beach, FL 33435-4166
Jorge L Macia Family Medicine Jorge L Macia Md and Rosa M Marin Mdpa 115 S E 4th St, Boynton Beach, FL 33435-4905
Rosa M Marin Internal Medicine Jorge L Macia Md and Rosa M Marin Mdpa 115 S E 4th St, Boynton Beach, FL 33435-4905
Julia Jacques Nurse Practitioner Ayman L Atallah Md Corp 505 Se 6th Ave, Boynton Beach, FL 33435-4921
Michael J Warner Psychologist, Clinical 505 Se 6th Ave, Boynton Beach, FL 33435-4921
Jill Suzanne Brigham Nurse Practitioner Ayman L Atallah Md Corp 505 Se 6th Ave, Boynton Beach, FL 33435-4921
Find all physicians in zip 33435

Competitor

Search similar physicians

City BOYNTON BEACH
Zip Code 33435
Specialty FAMILY MEDICINE
City + Specialty BOYNTON BEACH + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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