NPI 1720079775

Paul E. Prusakowski, CPOLPO

Practitioner Prosthetist Gainesville, FL

Practice location

Address: 6830 NW 11th Pl STE a, Gainesville, FL 32605-4254
Phone: (352) 331-4221
Fax: (352) 332-8074

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence POR56 (FL)

Other Prosthetist providers in Florida →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence POR56 (FL)

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Registry record

NPI: 1720079775
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2005
Record last updated: 3 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.