Individual
PRERNA BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME158327
FL
Other
Enumeration date
06/21/2016
Last updated
10/30/2025
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