MEDICARE: DR. MICHAEL WYNN PROVINES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	220655-01	NY

General Provider Information

NPI Number	:	1568230001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WYNN PROVINES MD

Provider Business Mailing Address
First Line	:	5050 GREENWICH PRESERVE CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-5802
Country	:	US
Telephone Number	:	954-496-2260
Fax Number	:	954-833-2066

Provider Business Practice Location Address
First Line	:	5050 GREENWICH PRESERVE CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-5802
Country	:	US
Telephone Number	:	954-496-2260
Fax Number	:	954-833-2066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2023
Last Update Date	:	12/09/2025

Similar Medicare Providers

1376876706 — DR. MAYA SARKISYAN D.O.M.
Practice Location Address:

5049 GREENWICH PRESERVE CT
BOYNTON BEACH, FL
33436-5802

Practice Phone: 800-590-6292
Practice Fax:

1093048423 — TRANSENTIENT INC.
Practice Location Address:

5049 GREENWICH PRESERVE CT
BOYNTON BEACH, FL
33436-5802

Practice Phone: 800-590-6292
Practice Fax:

1386081941 — MS. JENNIFER SHERM MOTR/L
Practice Location Address:

5106 GREENWICH PRESERVE CT
BOYNTON BEACH, FL
33436-5802

Practice Phone: 703-470-6975
Practice Fax:

1174912794 — ST GEORGE OD LLC
Practice Location Address:

5058 GREENWICH PRESERVE CT
BOYNTON BEACH, FL
33436-5802

Practice Phone: 954-624-5649
Practice Fax:

1174549216 — DR. STEVEN D JAFFE DPM
Practice Location Address:

1325 S CONGRESS AVE , #108
BOYNTON BEACH, FL
33426-5802

Practice Phone: 561-734-3960
Practice Fax: 561-734-2811

1215958400 — DR. JEAN LAVENTURE RENELIEN MD
Practice Location Address:

1325 S CONGRESS AVE STE 101
BOYNTON BEACH, FL
33426-5802

Practice Phone: 561-733-2929
Practice Fax: 561-736-8467

Directions to “ DR. MICHAEL WYNN PROVINES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.