Organization
JAMES PRUCHNIEWSKI DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F PRUCHNIEWSKI DPM (OWNER)
(863) 859-4434
Entity
Organization
Contact information
Practice address
4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 859-4434
Mailing address
4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 859-4434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO1910
FL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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