Healthcare Provider Details

I. General information

NPI: 1295774453
Provider Name (Legal Business Name): SEAN XAVIER CAVANAUGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4416 SUN N LAKE BLVD
SEBRING FL
33872-2164
US

IV. Provider business mailing address

900 HOPE WAY
ALTAMONTE SPRINGS FL
32714-1502
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-2049
  • Fax: 863-382-2830
Mailing address:
  • Phone: 863-382-2049
  • Fax: 863-382-2830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number061831
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberL5697
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME157839
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: