Individual
MICAHLENE YVETTE SARGEANT
Active
Individual
MICAHLENE YVETTE SARGEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110755
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9110755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102156900
—
FL
Enumeration date
10/20/2017
Last updated
04/16/2019
Update your record
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