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Contact Information

TROY WALKER PRENDERGAST, PA-C
1995 E OAKLAND PARK BLVD
SUITE 310
FORT LAUDERDALE, FL33306-1149
 Phone: 954-791-6146
 Fax: 954-337-2733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TROY WALKER PRENDERGAST · (Male)

NPI Number 1376005645
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/04/2019
Last updated 07/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s)
  • HOLY CROSS HOSPITAL INC - (Acute Care)
    4725 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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