License holder summary

PHILIP L PROVENZALE is a Nursing - Dentist licensed to practice in Florida. The address on file for PHILIP L PROVENZALE is 706 S. FORT HARRISON AVE. CLEARWATER,FL33756 UNITED STATES ATTN: PRECISION DENTAL. This nurse license is current. The license was granted 08/27/1976 and expired on 02/28/2016.

Secretary of State

Board of Nursing

PHILIP L PROVENZALE
Nursing - Dentist
License number
DN7396
Date granted
08/27/1976
Date expires
02/28/2016
Class
Nursing - Dentist
Status
Active
Address
706 S. FORT HARRISON AVE. CLEARWATER,FL33756 UNITED STATES ATTN: PRECISION DENTAL
nursingflorida.org
ID 31862832
LAST UPDATED 2026-06-01 12:13:29 UTC

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