Individual
BRENT M PENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP,CRNA
Contact information
Practice address
4725 N. FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
Mailing address
2006 HOGBACK RD., SUITE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11030608
FL
367500000X
Certified Registered Nurse Anesthetist
D184978
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121156300
—
FL
Enumeration date
12/14/2021
Last updated
07/08/2025
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