MEDICARE: DR. SEAN XAVIER CAVANAUGH M.D.

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	2085R0001X	Radiation Oncology Physician	061831	GA
2	2085R0001X	Radiation Oncology Physician	L5697	TX
3	2085R0001X	Radiation Oncology Physician	ME157839	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061831	OTHER	GA	GEORGIA MEDICAL LICENSE

General Provider Information

NPI Number	:	1295774453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN XAVIER CAVANAUGH M.D.

Provider Business Mailing Address
First Line	:	900 HOPE WAY
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1502
Country	:	US
Telephone Number	:	863-382-2049
Fax Number	:	863-382-2830

Provider Business Practice Location Address
First Line	:	4416 SUN N LAKE BLVD
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2164
Country	:	US
Telephone Number	:	863-382-2049
Fax Number	:	863-382-2830

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	01/08/2026

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