Provider Demographics
NPI:1578653531
Name:SENTER, MINDY B (DC)
Entity Type:Individual
Prefix:DR
First Name:MINDY
Middle Name:B
Last Name:SENTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 TANGLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1846
Mailing Address - Country:US
Mailing Address - Phone:954-931-2312
Mailing Address - Fax:954-252-4112
Practice Address - Street 1:2045 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3936
Practice Address - Country:US
Practice Address - Phone:954-931-2312
Practice Address - Fax:954-252-4112
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH0008141OtherWORKERS COMPENSATION
FLU89845Medicare UPIN
FL70155Medicare ID - Type Unspecified