| 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 |
Rural Health Care Incorporated 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 |