Organization · Type 2 NPI
Bernard A. Prudencio M.d.pa
General Practice Physician · Welaka, FL
NPI number
1942510672
Active
Practice location
673 Third Ave
Welaka, FL 32193-0619
Fax (386) 467-8512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1942510672
Bernard A. Prudencio M.d.pa's National Provider Identifier is 1942510672, issued on Oct 15, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Welaka, FL. The record was last updated on Oct 15, 2010.