Individual
BRODIE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
(407) 303-6414
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
(407) 303-6414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0010-13707
NC
363A00000X
Physician Assistant
Primary
PA9116205
FL
Other
Enumeration date
05/18/2022
Last updated
02/03/2026
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