Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. William J Pruitt III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649852039

Dr. William J Pruitt III, MD is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone: (954) 468-8962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649852039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2021
Last updated in NPPESApril 25, 2021
Certification dateApril 25, 2021

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