Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Paul E. Prusakowski, CPO, LPO

Individual provider Orthotist · NPI 1720079775

Mr. Paul E. Prusakowski, CPO, LPO is an Orthotist in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2

Practice location Address checks out

6830 NW 11th Pl Ste A
Gainesville, FL 32605-4254
Phone: (352) 331-4221
Fax: (352) 332-8074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence POR56 (FL)
Orthotist Taxonomy 222Z00000X · Licence POR56 (FL)

Record details

NPI number1720079775
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO , LPO
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESDecember 3, 2007

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