Individual
MR. SEAN M TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6451 N FEDERAL HWY STE 800, FT LAUDERDALE, FL 33308-1409
(866) 906-1637
Mailing address
6451 N FEDERAL HWY STE 800, FT LAUDERDALE, FL 33308-1409
(866) 906-1637
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO2052
NV
207P00000X
Emergency Medicine Physician
DOS933
HI
207P00000X
Emergency Medicine Physician
OS9271
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
20A10991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000178500
—
FL
01
—
00E0234574
BCBS
HI
01
—
00F0234572
BCBS
HI
01
—
48800
BCBS
FL
05
—
50772509
—
HI
05
—
50772510
—
HI
05
—
50772512
—
HI
05
—
50772513
—
HI
01
—
A008
CHAMPUS
HI
01
—
A017
TRICARE
HI
01
—
A023
CHAMPUS
HI
Enumeration date
07/05/2006
Last updated
03/24/2022
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