Bernard A. Prudencio M.d.pa | |
673 Third Ave Welaka FL 32193-0619 | |
(386) 467-9047 | |
(386) 467-8512 |
Full Name | Bernard A. Prudencio M.d.pa |
---|---|
Speciality | General Practice |
Location | 673 Third Ave, Welaka, Florida |
Authorized Official Name and Position | Rebecca Prudencio (OFFICE MANAGER) |
Authorized Official Contact | 3864679047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bernard A. Prudencio M.d.pa 673 Third Ave Po Box 619 Welaka FL 32193-0619 Ph: (386) 467-9047 | Bernard A. Prudencio M.d.pa 673 Third Ave Welaka FL 32193-0619 Ph: (386) 467-9047 |
NPI Number | 1942510672 |
---|---|
Provider Enumeration Date | 10/15/2010 |
Last Update Date | 10/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942510672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Aza Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Elm Street, Welaka, FL 32193 Phone: 386-467-3171 Fax: 386-325-1086 | |
Welaka Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Elm St, Welaka, FL 32193 Phone: 386-467-3171 Fax: 386-467-3174 |