Michael J Prendergast
Nurse Practitioner
22089 Us Highway 19 N
Clearwater
, Florida 33765-2364
Michael J Prendergast
Nurse Practitioner
22089 Us Highway 19 N
Clearwater
, Florida 33765-2364
(727) 669-9260
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Michael J Prendergast
- Po Box 16264
- Clearwater, FL
- Zip : 33766-6264
- Fax : (727) 669-9260
- Phone : (727) 287-2784
Second Address
- Michael J Prendergast
- 22089 Us Highway 19 N
- Clearwater, FL
- Zip : 33765-2364
- Fax : (727) 669-9260
- Phone : (727) 287-2784
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9199787 | FL |
National Provider Identifier
| NPI | 1003886920 |
|---|---|
| Provider Name | Michael J Prendergast |
| First Address | Clearwater, FL 33766-6264 |
| Second Address | Clearwater, FL 33765-2364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q49893 | (02) | |
| Y080H | BCBS (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.