Individual
MR. PAUL E. PRUSAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
6830 NW 11TH PL, STE A, GAINESVILLE, FL 32605-4254
(352) 331-4221
(352) 332-8074
Mailing address
6830 NW 11TH PL, STE A, GAINESVILLE, FL 32605-4254
(352) 331-4221
(352) 332-8074
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR56
FL
224P00000X
Prosthetist
Primary
POR56
FL
Other
Enumeration date
10/31/2005
Last updated
12/03/2007
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