MEDICARE: DR. MICHAEL F. SHEEHAN 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	2084P0802X	Addiction Psychiatry Physician	ME 49687	FL
2	2084P0800X	Psychiatry Physician	ME49687	FL

General Provider Information

NPI Number	:	1528060597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL F. SHEEHAN M.D.

Provider Business Mailing Address
First Line	:	16554 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1325
Country	:	US
Telephone Number	:	813-968-7188
Fax Number	:	813-968-7627

Provider Business Practice Location Address
First Line	:	16554 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1325
Country	:	US
Telephone Number	:	813-968-7188
Fax Number	:	813-968-7627

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	02/22/2012

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