PAUL E. PRUSAKOWSKI

GAINESVILLE, FL
NPI1720079775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: FL  POR56)
Additional Taxonomies222Z00000X Orthotist
(Licence: FL  POR56)
Enumeration Date2005-10-31
Last Update Date2007-12-03
Business Address
Mr. PAUL E. PRUSAKOWSKI CPO, LPO
6830 NW 11TH PL STE A
GAINESVILLE, FL 32605-4254
Phone number: 352-331-4221
Mailing Address
Mr. PAUL E. PRUSAKOWSKI CPO, LPO
6830 NW 11TH PL STE A
GAINESVILLE, FL 32605-4254
Phone number: 352-331-4221
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