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

Stephanie Prudencio, DO

Individual provider Pediatrics Physician · NPI 1699235200

Stephanie Prudencio, DO is a Pediatrics Physician in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone: (850) 416-7000
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS18629 (FL)

Record details

NPI number1699235200
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623

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