Individual
SEAN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000137A
IN
367H00000X
Anesthesiologist Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095200159
MEDICARE PTAN
IN
Enumeration date
05/19/2015
Last updated
11/05/2025
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