MR. Paul E. Prusakowski, CPO, LPO

NPI #1720079775 in Gainesville, Florida

Provider Information

NPI Number: 1720079775
Entity Type: Individual
Name: MR. Paul E. Prusakowski, CPO, LPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO, LPO
Enumeration Date: Oct 31, 2005
Last Updated: Dec 3, 2007

Practice Location

Address: 6830 NW 11TH PL
Address 2: STE A
City: Gainesville
State: Florida
ZIP Code: 32605-4254
Phone: (352) 331-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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