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1699235200
STEPHANIE PRUDENCIO
PENSACOLA, FL
NPI
1699235200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL OS18629)
Enumeration Date
2019-03-20
Last Update Date
2024-10-04
Business Address
STEPHANIE PRUDENCIO DO
5151 N 9TH AVE
PENSACOLA, FL 32504-8721
Phone number: 850-416-7000
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Mailing Address
STEPHANIE PRUDENCIO DO
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-450-6063
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