Christopher J Prusinski Do Pa | |
1310 W Eau Gallie Blvd Suite B Melbourne FL 32935-5300 | |
(321) 421-6566 | |
(321) 421-6572 |
Full Name | Christopher J Prusinski Do Pa |
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Speciality | Psychiatry & Neurology |
Location | 1310 W Eau Gallie Blvd, Melbourne, Florida |
Authorized Official Name and Position | Christopher J Prusinski (PHYSICIAN) |
Authorized Official Contact | 3214216566 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christopher J Prusinski Do Pa 1310 W Eau Gallie Blvd Suite B Melbourne FL 32935-5300 Ph: (321) 421-6566 | Christopher J Prusinski Do Pa 1310 W Eau Gallie Blvd Suite B Melbourne FL 32935-5300 Ph: (321) 421-6566 |
NPI Number | 1700063708 |
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Provider Enumeration Date | 01/22/2008 |
Last Update Date | 02/20/2008 |
Medicare PECOS PAC ID | 0547345803 |
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Medicare Enrollment ID | O20080311000264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700063708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | OS0005640 (Florida) | Primary |
Provider Name | Christopher Prusinski |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1467556779 PECOS PAC ID: 2062593924 Enrollment ID: I20080116000665 |
Provider Name | Christian Cameron Prusinski |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1831693530 PECOS PAC ID: 8729336532 Enrollment ID: I20220805003118 |
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