Individual
CHASE THOMAS PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13887 NARCOOSSEE RD STE 200, ORLANDO, FL 32832-7221
(844) 407-4070
(407) 743-3050
Mailing address
3480 WAKE FOREST RD STE 204, RALEIGH, NC 27609-7376
(919) 862-5093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116117
FL
Other
Enumeration date
05/18/2022
Last updated
04/06/2026
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