Melissa N Prutch is a Lutz, Florida based female podiatrist who is specialized in Podiatric Sports Medicine. Active license number of Melissa N Prutch for Podiatry is PO4507 in Florida. Melissa N Prutch deals with prevention, diagnosis and treatment of lower extremity disorders in sports person. Main mission is to provide such knowledge (through professional education, public awareness) to the athletes and the public (who play sports) to enhance their enjoyment and safe participation in sports and fitness activities.
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 - Sports Medicine
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:
10 Mar, 2025
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
Podiatry
Florida
Primary
PO4507
Podiatric Sports Medicine
Florida
Secondary
PO4507
Primary Podiatric Medicine
Florida
Secondary
PO4507
Podiatric Foot & Ankle Surgery
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
15584066
Other
CAQH
119076100
Medicaid
Florida
3AEL6
Other
Florida
FL BLUE BCBS ID
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 14 April, 2025.
Dr. Adam Jacob Siegel, DPM 13+ yr exp.Speciality: Podiatrist - Primary Podiatric Medicine Address: 1005 Dale Mabry Hwy, FL Phone: 813-549-5678 Fax: 813-701-9132
Ryan Alexander Haaksma, DPM 6+ yr exp.Speciality: Podiatrist - Primary Podiatric Medicine Address: 1005 Dale Mabry Hwy, FL Phone: 813-549-5678 Fax: 813-701-9132