Melissa N Prutch is a Lutz, Florida based female podiatrist who is specialized in Podiatry. Active license number of Melissa N Prutch for Podiatric Foot & Ankle Surgery is PO4507 in Florida. Melissa N Prutch is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Melissa N Prutch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Female
Practice Address:
1005 Dale Mabry Hwy, Lutz, Florida, 33548-3021
Phone:
813-549-5678
Fax:
813-701-9132
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164153706
NPI Enumeration Date:
23 Jun, 2022
NPI Last Update On:
12 Aug, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melissa N Prutch are as mentioned below.
License Number
Specialization
State
Status
PO4507
Podiatric Foot & Ankle Surgery
Florida
Primary
PO4507
Podiatry
Florida
Secondary
PO4507
Primary Podiatric Medicine
Florida
Secondary
PO4507
Podiatric Sports Medicine
Florida
Secondary
PO4507
Podiatric Foot Surgery
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Melissa N Prutch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3AEL6
Other
Florida
FL BLUE BCBS ID
119076100
Medicaid
Florida
15584066
Other
CAQH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15815 Shaddock Dr Ste 130, Winter Garden, Florida
Zip:
34787-5773
Phone Number:
813-400-1140
Fax Number:
813-701-9132
Patients can reach Melissa N Prutch at 1005 Dale Mabry Hwy, Lutz, Florida or can call to book an appointment on 813-549-5678. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.