Healthcare Provider Details
I. General information
NPI: 1144184987
Provider Name (Legal Business Name): JUOZAS KRIZINAUSKAS CP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7726 WINEGARD RD STE 5
ORLANDO FL
32809-7147
US
IV. Provider business mailing address
7726 WINEGARD RD STE 5
ORLANDO FL
32809-7147
US
V. Phone/Fax
- Phone: 407-255-7234
- Fax:
- Phone: 407-255-7234
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 224P00000X |
| Taxonomy | Prosthetist |
| License Number | PRO195 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: