BERNARD A. PRUDENCIO M.D.PA
NPI 1942510672
General Practice in Welaka, FL

Q: What is Bernard A. Prudencio M.D.Pa's NPI number?

The NPI number for Bernard A. Prudencio M.D.Pa is 1942510672. It was assigned to this organization in the NPPES registry on October 15, 2010.

Q: What is Bernard A. Prudencio M.D.Pa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 15, 2010

673 THIRD AVE, WELAKA, FL 32193(386) 467-9047(386) 467-8512 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bernard A. Prudencio M.d.pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNARD A. PRUDENCIO M.D.PA (NPI 1942510672) is a healthcare organization registered as a general practice in Welaka, Florida and active in the NPI registry since October 2010. The organization lists Rebecca Prudencio, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942510672

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBERNARD A. PRUDENCIO M.D.PA

Location Address673 THIRD AVEWelaka, FL 32193-0619

Mailing Address673 Third Ave, Po Box 619Welaka, FL 32193-0619 · (386) 467-9047 · Fax (386) 467-8512

Phone(386) 467-9047

Fax(386) 467-8512

Organization SubpartNo

Authorized OfficialRebecca PrudencioOffice Manager · (386) 467-9047

Enumeration DateOctober 15, 2010

✔ NPI 1942510672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

673 THIRD AVE, Welaka, FL 32193

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernard A. Prudencio M.D.Pa's NPI number?

The NPI number for Bernard A. Prudencio M.D.Pa is 1942510672. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Bernard A. Prudencio M.D.Pa located?

Bernard A. Prudencio M.D.Pa is located at 673 Third Ave, Welaka, FL 32193. The listed phone number is (386) 467-9047.

What is Bernard A. Prudencio M.D.Pa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bernard A. Prudencio M.D.Pa was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.