Heron, Sean P

Heron, Sean P is an individual health care provider with primary practice located at 5747 38Th Ave N , St Petersburg FL 33710-1925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Heron, Sean P can be contacted via phone (727) 381-8667.

Contact Information

Primary practice address
5747 38Th Ave N St Petersburg FL 33710-1925
Phone: (727) 381-8667
Fax: (727) 345-1951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME68349 Florida

Profile Details

NPI number 1164486262
LBN Legal business name Heron, Sean P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 29th, 2023 - about last year

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 1164486262 NPPES
Other 700823 AETNA HMO
Other 938007 AETNA HMO
MEDICAID 379031200 AETNA HMO
Other 8207862 AETNA HMO
Other 2990017001 AETNA HMO
Other 27138 AETNA HMO
Other 591226600 AETNA HMO

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