Organization
JAMES PRUCHNIEWSKI DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PRUCHNIEWSKI DPM (PRESIDENT)
(863) 859-4434
Entity
Organization
Contact information
Practice address
4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 859-4434
(863) 859-7461
Mailing address
4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 859-4434
(863) 859-7461
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 1910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041061600
—
FL
Enumeration date
09/28/2010
Last updated
09/28/2010
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