Individual
BRENDAN MICHAEL PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8725 N WICKHAM RD, MELBOURNE, FL 32940-2239
(321) 253-4673
(321) 253-4338
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 253-4673
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME115355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010168900
—
FL
01
—
HI443Y
HFMG MEDICARE
FL
01
—
P01593508
FL RR MEDICARE
FL
Enumeration date
04/11/2008
Last updated
12/05/2024
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