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Bernard A. Prudencio M.d.pa
General Practice Physician in Welaka, Florida
NPI 1942510672

Bernard A. Prudencio M.d.pa is a General Practice Physician based in Welaka, FL. Bernard A. Prudencio M.d.pa practices in Welaka, FL. The NPI Number for Bernard A. Prudencio M.d.pa is 1942510672 and holds a License No. (Florida).

The current practice location address for Bernard A. Prudencio M.d.pa is 673 Third Ave, Welaka, FL and can be reached out via phone at 386-467-9047 and via fax at 386-467-8512.

Location: 673 Third Ave, Welaka, FL, 32193-0619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942510672
Provider Name
Bernard A. Prudencio M.d.pa
Credential
Provider Entity Type
Organization
Address
673 Third Ave, Welaka, FL, 32193-0619
Phone Number
386-467-9047
Fax Number
386-467-8512
Provider Enumeration Date
10/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
673 Third Ave
City
Welaka
State
Florida
Zip
32193-0619
Phone Number
386-467-9047
Fax Number
386-467-8512
person
Provider Business Mailing Address Details
Address
673 Third Ave
City
Welaka
State
Florida
Zip
32193-0619
Phone Number
386-467-9047
Fax Number
386-467-8512
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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