Prendergast, Brendan Michael
Prendergast, Brendan Michael is an sole proprietor health care provider with primary practice located at 8725 N Wickham Rd , Melbourne FL 32940-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Prendergast, Brendan Michael can be contacted via phone (321) 253-4673.Contact Information
Primary practice address
8725 N Wickham Rd
Melbourne FL 32940-2239
Phone: (321) 253-4673
Fax: (321) 253-4338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME115355 | Florida |
Profile Details
| NPI number | 1497928394 |
|---|---|
| LBN Legal business name | Prendergast, Brendan Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Dec 5th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497928394 | NPPES |
| Florida | Other | HI443Y | HFMG MEDICARE |
| Florida | MEDICAID | 010168900 | HFMG MEDICARE |
| Florida | Other | P01593508 | HFMG MEDICARE |
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