MR. PAUL E. PRUSAKOWSKI


Address: 6830 Nw 11th Pl, Ste A, Gainesville, FL 32605-4254
Phone: 3523314221

MR. PAUL E. PRUSAKOWSKI (NPI# 1720079775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720079775
Entity Type Individual
Full Name MR. PAUL E. PRUSAKOWSKI
Credential CPO, LPO
Practice Address 6830 Nw 11th Pl
Ste A
Gainesville
FL 32605-4254
Practice Telephone 3523314221
Practice Fax Number 3523328074
Mailing Telephone 3523314221
Mailing Fax Number 3523328074
Enumeration Date 2005-10-31
Last Update Date 2007-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist POR56 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist POR56 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6830 NW 11TH PL
STE A
City GAINESVILLE
State FL
Zip Code 32605-4254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609316975 Gainesville Medical Obesity Specialty Clinic LLC Clinic/Center 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 2017-03-06
1578986857 Sara Webber Physician Assistant 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 2014-01-22
1932378056 Shannon River Enterprises,inc. Eyewear Supplier (Equipment, not the service) 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 2008-02-22
1851574107 William Hogan Technician/Technologist 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 2007-12-10
1548280092 Yili Zhou LLC Pain Medicine 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 2006-07-20
1992785893 Cynthia Lynn Larimer Family Medicine 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 2006-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780205435 Remy Fadel Student in an Organized Health Care Education/Training Program 1147 Nw 64th Terr, Gainsville, FL 32605 2020-05-05
1518528652 Family Restoration Station Counseling Center, LLC Marriage & Family Therapist 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 2019-06-27
1568925105 Ryeisha Hough Behavior Technician 1051 Sw 56 Terrace, Gainesville, FL 32605 2019-04-10
1003308040 Titan Mri LLC Clinic/Center 919 Nw 57th St Ste 20, Gainesville, FL 32605 2018-06-05
1922598432 Angela Maria Fernandez Manovel Student in an Organized Health Care Education/Training Program 1147 Nw 64th Terrace, Gainesville, FL 32605 2018-05-10
1396235800 Aya Marachi Student in an Organized Health Care Education/Training Program 6500 W. Newberry Rd., Gainesville, FL 32605 2018-05-10
1053813543 Jaime L Jasser Counselor 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 2018-03-01
1164932901 Anesthesia Physician Solutions of North Florida, LLC Anesthesiology 6500 W Newberry Road, Gainesville, FL 32605 2017-10-06
1336667930 Zina Theresse Durr Adult Companion 3124 Nw 29th Place, Gainesville, FL 32605 2017-09-03
1982126306 Crystal Thompson Baumann Nurse Practitioner 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 2017-07-07
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447612205 Shannon Ovwigho Prosthetist 1105 Nw 13th St, Gainesville, FL 32601-4137 2016-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831796275 Mireille Alexis Prosthetist 4376 Fl-7, Coral Springs, FL 33073 2020-10-08
1588279434 Kourtney James Prosthetist 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 2020-09-08
1750910790 Gabriela Jamur Prosthetist 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 2020-04-02
1013543701 Kateau Cerisme Prosthetist 320 N Magnolia Ave, Orlando, FL 32801-1624 2020-03-13
1780217174 Amber Baker Prosthetist 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 2020-02-13
1992336192 Antakeisha Lavonte Hepburn Prosthetist 2326 Nw 51st St, Miami, FL 33142-3677 2020-01-28
1164067211 Rayna K Bradley Prosthetist 148 Lake Ave, Maitland, FL 32751-6424 2019-11-13
1376001982 Kerryann Williams Prosthetist 6515 Nw 1st St, Margate, FL 33063-5101 2019-03-04
1528526126 Latoya Patrick Prosthetist 11361 Sheffield Rd, Spring Hill, FL 34608-2260 2019-03-04
1275091878 Debbie Denizard Prosthetist 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 2019-03-04
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Competitor

Search similar providers

City GAINESVILLE
Zip Code 32605

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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