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1649852039
WILLIAM J PRUITT
FORT LAUDERDALE, FL
NPI
1649852039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-25
Last Update Date
2021-04-25
Business Address
Dr. WILLIAM J PRUITT MD
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-468-8962
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Mailing Address
Dr. WILLIAM J PRUITT MD
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 386-290-0057
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