Individual
CAITLYN G PRUCINSKY
Active
Individual
CAITLYN G PRUCINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA111020
FL
363A00000X
Physician Assistant
PA91111020
FL
363AM0700X
Medical Physician Assistant
10000698A
IN
363AS0400X
Surgical Physician Assistant
10000698
IN
363AS0400X
Surgical Physician Assistant
10000698A
IN
363AS0400X
Surgical Physician Assistant
Primary
PA9111020
FL
Other
Enumeration date
06/20/2005
Last updated
10/26/2020
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