Organization
O&P CLINICAL TECHNOLOGIES INC
Active
Other names
Gainesville Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL EDWARD PRUSAKOWSKI LPO, CPO, FAAOP (PRESIDENT/CEO)
(352) 331-4221
Entity
Organization
Contact information
Practice address
4650 NW 39TH AVE STE G, GAINESVILLE, FL 32606-6090
(352) 331-4221
(352) 332-8074
Mailing address
4650 NW 39TH AVE STE G, GAINESVILLE, FL 32606-6090
(352) 331-4221
(352) 332-8074
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
POR56
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR56
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000849796O
ABC
—
01
—
6MYL2
CAGE
—
05
—
952053800
—
FL
01
—
NB7TG45GY7L5
SAM
—
Enumeration date
12/03/2007
Last updated
03/12/2026
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