Individual
SEAN P HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5747 38TH AVE N, ST PETERSBURG, FL 33710-1925
(727) 381-8667
(727) 345-1951
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME68349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27138
BCBS OF FLORIDA
—
01
—
2990017001
CIGNA
—
05
—
379031200
—
FL
01
—
591226600
UNITED HEALTHCARE
—
01
—
700823
AETNA HMO
—
01
—
8207862
AETNA PPO
—
01
—
938007
FIRST HEALTH
—
Enumeration date
04/14/2006
Last updated
11/29/2023
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