Individual
SEAN BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHS, MHS, CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-9625
(352) 273-8610
(352) 273-8612
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
(352) 273-8612
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
2016038653
MO
367H00000X
Anesthesiologist Assistant
Primary
AA719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59446016
BCBS KC
MO
05
—
910037958
—
MO
01
—
P02156075
RAILROAD
MO
Enumeration date
11/30/2016
Last updated
03/17/2022
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