# JAMES PRUCHNIEWSKI DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255509196
- **Authorized official:** JAMES F PRUCHNIEWSKI DPM (OWNER)
- **Authorized official phone:** (863) 859-4434

## Contact information

- **Practice address:** 4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
- **Practice address phone:** (863) 859-4434
- **Mailing address:** 4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
- **Mailing address phone:** (863) 859-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO1910 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 02/13/2008