MEDICARE: SEAN M SHEA MD

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	2084N0400X	Neurology Physician	ME21554	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	130018640	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	400001240000	OTHER	FL	PREFERRED CARE PARTNERS
2	1007868	OTHER	FL	CARE PLUS
3	4069240	OTHER	FL	AETNA LIFE INS CO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1256962	OTHER	FL	CIGNA
6	22358	OTHER	FL	WELLCARE/STAYWELL
7	D70704	OTHER	FL	VISTA
8	217614	OTHER	FL	AVMED
9	3099321	OTHER	FL	GHI
11	3532MTSN	OTHER	FL	NHP
12	78416	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1760489397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN M SHEA MD

Provider Business Mailing Address
First Line	:	1053 NE 95TH ST
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2547
Country	:	US
Telephone Number	:	272-300-0063
Fax Number	:	727-954-6546

Provider Business Practice Location Address
First Line	:	5200 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2706
Country	:	US
Telephone Number	:	727-300-0063
Fax Number	:	727-954-6546

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	09/04/2023

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Directions to “ SEAN M SHEA MD” Practice Location

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