Individual
MR. MATTHEW KENT PRUSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
Mailing address
13525 BARTRAM PARK BLVD, UNIT #135, JACKSONVILLE, FL 32258-5241
(440) 773-7630
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA227
FL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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