| NPI | 1134438948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PRUCHNIEWSKI President 863-859-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 1910) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |