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MR. PAUL E. PRUSAKOWSKI CPO LPO NPI 1720079775


NPI Information

NPI: 1720079775
Provider Name: MR. PAUL E. PRUSAKOWSKI, CPO, LPO
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
6830 NW 11TH PL
STE A
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-4221
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MR. Paul E. Prusakowski, CPO, LPO is a prosthetist in Gainesville, FL. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Paul E. Prusakowski, CPO, LPO NPI is 1720079775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6830 NW 11TH PL
STE A
GAINESVILLE, FL
ZIP 32605-254
Phone: (352) 331-4221
Fax: (352) 332-8074

The enumeration date for this NPI number is 10/31/2005 and was last updated on 12/3/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistPOR56FLORIDANo
2224P00000XProsthetistPOR56FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11234870001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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