Prendergast, Michael J

Prendergast, Michael J is an individual health care provider with primary practice located at 22089 Us Highway 19 N , Clearwater FL 33765-2364. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Prendergast, Michael J can be contacted via phone (727) 287-2784.

Contact Information

Primary practice address
22089 Us Highway 19 N Clearwater FL 33765-2364
Phone: (727) 287-2784
Fax: (727) 669-9260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9199787 Florida

Profile Details

NPI number 1003886920
LBN Legal business name Prendergast, Michael J
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003886920 NPPES
Florida Other Y080H BCBS

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