Bannister, Sean Patrick Alonza

Bannister, Sean Patrick Alonza is an individual health care provider with primary practice located at 745 Nw Federal Hwy , Stuart FL 34994-1016. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Bannister, Sean Patrick Alonza can be contacted via phone (772) 247-7545.

Contact Information

Primary practice address
745 Nw Federal Hwy Stuart FL 34994-1016
Phone: (772) 247-7545
Fax: (772) 264-3272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105846 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105846 Florida

Profile Details

NPI number 1205976487
LBN Legal business name Bannister, Sean Patrick Alonza
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205976487 NPPES
Florida MEDICAID 003293800
Florida Other Y06TH

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