MEDICARE: DR. SEAN MICHAEL MCFADDEN D.O.

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	207X00000X	Orthopaedic Surgery Physician	OS8094	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7461358	OTHER	FL	AETNA PPO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3717683	OTHER	FL	AETNA HMO
4	12485	OTHER	FL	FHHS PROVIDER NUMBER
5	280549	OTHER	FL	AVMED PROVIDER NUMBER
6	0109468	OTHER	FL	UHC PROVIDER NUMBER
7	58858	OTHER	FL	BLUE CROSS BLUE SHIELD
8	9671701004	OTHER	FL	CIGNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1538101522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN MICHAEL MCFADDEN D.O.

Provider Business Mailing Address
First Line	:	3451 TECHNOLOGICAL AVE STE 15
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-8353
Country	:	US
Telephone Number	:	407-380-8705
Fax Number	:	407-643-2804

Provider Business Practice Location Address
First Line	:	3451 TECHNOLOGICAL AVE STE 15
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-8353
Country	:	US
Telephone Number	:	407-380-8705
Fax Number	:	407-643-2804

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	11/24/2020

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Directions to “ DR. SEAN MICHAEL MCFADDEN D.O.” Practice Location

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