Individual
MRS. MARY LYNN ENGROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., P.A.-C
Contact information
Practice address
7595 LAKE WORTH RD, LAKE WORTH, FL 33467-2532
(561) 433-2564
Mailing address
4774 S CLASSICAL BLVD, DELRAY BEACH, FL 33445-1225
(561) 346-9162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7384
FL
363AM0700X
Medical Physician Assistant
9102324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7384
PT PROVIDER #
FL
01
—
Y5555
BCBS #
FL
Enumeration date
11/26/2006
Last updated
08/04/2010
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