Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bernard A. Prudencio M D PA

Organization General Practice Physician · NPI 1942510672

Bernard A. Prudencio M D PA is a General Practice Physician in Welaka, Florida. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

673 Third Ave
Welaka, FL 32193-0619
Phone: (386) 467-9047
Fax: (386) 467-8512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1942510672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Prudencio — Office Manager · (386) 467-9047
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 15, 2010
Mailing address673 Third Ave, Po Box 619, Welaka, FL 32193-0619

Other providers in Welaka