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1003886920
MICHAEL J PRENDERGAST
CLEARWATER, FL
NPI
1003886920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9199787)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
-- MICHAEL J PRENDERGAST A.R.N.P.
22089 US HIGHWAY 19 N
CLEARWATER, FL 33765-2364
Phone number: 727-287-2784
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Mailing Address
-- MICHAEL J PRENDERGAST A.R.N.P.
PO BOX 16264
CLEARWATER, FL 33766-6264
Phone number: 727-287-2784
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