Individual
DALLAS PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1258 FOX HEDGE LN, SAINT CLOUD, FL 34771-7664
(317) 525-1621
Mailing address
1258 FOX HEDGE LN, SAINT CLOUD, FL 34771-7664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11044346
FL
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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