Individual
SEAN MULVANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
Mailing address
5140 GATE PKWY, APT 4108, JACKSONVILLE, FL 32256-0236
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA238
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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