MEDICARE: DR. MINDY B SENTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH8141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH0008141	OTHER	FL	WORKERS COMPENSATION

General Provider Information

NPI Number	:	1578653531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MINDY B SENTER DC

Provider Business Mailing Address
First Line	:	949 TANGLEWOOD CIR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1846
Country	:	US
Telephone Number	:	954-931-2312
Fax Number	:	954-252-4112

Provider Business Practice Location Address
First Line	:	2045 N UNIVERSITY DR
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33322-3936
Country	:	US
Telephone Number	:	954-931-2312
Fax Number	:	954-252-4112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MINDY B SENTER DC” Practice Location

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