Individual
JAMES F PRUCHNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 859-4434
(863) 859-5184
Mailing address
4973 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 859-4434
(863) 859-5184
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041061600
—
FL
01
—
65027
BCBS
FL
Enumeration date
08/18/2006
Last updated
03/24/2010
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