| Dallas Pruett, | |
|
1258 Fox Hedge Ln, Saint Cloud, FL 34771-7664 | |
| (317) 525-1621 | |
| Not Available |
| Full Name | Dallas Pruett |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1258 Fox Hedge Ln, Saint Cloud, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033075874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11044346 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Pruett, 1258 Fox Hedge Ln, Saint Cloud, FL 34771-7664 Ph: () - | Dallas Pruett, 1258 Fox Hedge Ln, Saint Cloud, FL 34771-7664 Ph: (317) 525-1621 |
Mr. Mustapha Bengara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1932 Big Cypress Dr, Saint Cloud, FL 34771 Phone: 407-552-6917 | |
Barbara Jean Quick, ARNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6358 Oak Shore Dr, Saint Cloud, FL 34771 Phone: 407-579-4032 |