Individual provider · Type 1 NPI

Michael J. Prendergast, A.R.N.P.

Nurse Practitioner · Clearwater, FL

NPI number 1003886920 Active

Practice location

22089 US Highway 19 N
Clearwater, FL 33765-2364

Fax (727) 669-9260

Mailing address

PO Box 16264
Clearwater, FL 33766-6264

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9199787 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003886920

Michael J. Prendergast, A.R.N.P.'s National Provider Identifier is 1003886920, issued on Jan 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clearwater, FL. The record was last updated on Jul 13, 2026.