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1619636883
BRENT M PENDERGAST
MIAMI, FL
NPI
1619636883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL APRN11030608)
Enumeration Date
2021-12-14
Last Update Date
2024-02-06
Business Address
BRENT M PENDERGAST RN, BSN, CCRN
11200 SW 8TH ST
MIAMI, FL 33199-2516
Phone number: 305-348-7703
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Mailing Address
BRENT M PENDERGAST RN, BSN, CCRN
510 NW 84TH AVE APT 216
PLANTATION, FL 33324-1860
Phone number:
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