Individual provider · Type 1 NPI

Caitlyn G. Prucinsky, PA

Surgical Physician Assistant · Stuart, FL

NPI number 1194720797 Active

Practice location

1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512

Call (772) 288-2400 Map

Fax (772) 419-0144

Mailing address

250 N Shadeland Ave, Ste 130 Provider Enrollment
Indianapolis, IN 46219-4959

Other practice locations

  • 9401 SW Discovery Way Ste 201, Port St. Lucie, FL 34987-2381 · (772) 288-2400
  • 9401 SW Discovery Way Ste 102, Port St. Lucie, FL 34987-2381 · (772) 288-2400
  • 1801 N Senate Blvd, Suite 535, Indianapolis, IN 46202-1204 · (317) 963-1950

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA111020 (FL)
Physician Assistant 363A00000XPA91111020 (FL)
Medical Physician Assistant 363AM0700X10000698A (IN)
Surgical Physician Assistant 363AS0400X10000698A (IN)
Surgical Physician Assistant 363AS0400X10000698 (IN)
Surgical Physician Assistant Primary 363AS0400XPA9111020 (FL)

Surgical Physician Assistant: Definition to come...

25 other providers at this address

Other surgical physician assistant providers in Stuart

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About NPI 1194720797

Caitlyn G. Prucinsky, PA's National Provider Identifier is 1194720797, issued on Jun 20, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stuart, FL. The record was last updated on Oct 26, 2020.