| Sean Shea Md Pllc | |
|
1053 Ne 95th St Miami Shores FL 33138-2547 | |
| (786) 493-7792 | |
| Not Available |
| Full Name | Sean Shea Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1053 Ne 95th St, Miami Shores, Florida |
| Authorized Official Name and Position | Sean Shea (SOLE MEMBER) |
| Authorized Official Contact | 7864937792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Shea Md Pllc 1053 Ne 95th St Miami Shores FL 33138-2547 Ph: (727) 900-1326 | Sean Shea Md Pllc 1053 Ne 95th St Miami Shores FL 33138-2547 Ph: (786) 493-7792 |
| NPI Number | 1922718188 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 1557730330 |
|---|---|
| Medicare Enrollment ID | O20221219000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922718188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sean Shea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760489397 PECOS PAC ID: 6305833054 Enrollment ID: I20100303000536 |
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