Individual
CHRISTOPHER J PRUSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1310 W EAU GALLIE BLVD, SUITE B, MELBOURNE, FL 32935-5300
(321) 421-6566
(321) 421-6572
Mailing address
1310 W EAU GALLIE BLVD, SUITE B, MELBOURNE, FL 32935-5300
(321) 421-6566
(321) 421-6572
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS0005640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80190
BCBS
FL
Enumeration date
09/08/2006
Last updated
08/14/2007
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