Individual
CAROLL VIRGINIA SENGELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14400 NW 77TH CT STE 102, MIAMI LAKES, FL 33016-1590
(305) 823-7768
(305) 823-2211
Mailing address
14400 NW 77TH CT STE 102, MIAMI LAKES, FL 33016-1590
(305) 823-7768
(305) 823-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9106541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024245200
—
FL
01
—
PA9106541
LICENSE
FL
Enumeration date
05/03/2012
Last updated
04/25/2022
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