Individual
SEAN M MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2572 W STATE ROAD 426, SUITE 2032, OVIEDO, FL 32765-8389
(407) 699-1100
(407) 218-8833
Mailing address
2572 W STATE ROAD 426, SUITE 2032, OVIEDO, FL 32765-8389
(407) 699-1100
(407) 218-8833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101228974
VA
2085R0202X
Diagnostic Radiology Physician
MD21287
DC
2085R0202X
Diagnostic Radiology Physician
ME70745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010217849
—
VA
05
—
266823800
—
FL
Enumeration date
07/07/2006
Last updated
12/18/2009
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