Individual
SEAN SHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
3100 E FLETCHER AVE, ANESTHESIA DEPARTMENT, TAMPA, FL 33613-4613
(813) 615-7848
Mailing address
3100 E FLETCHER AVE, ANESTHESIA DEPARTMENT, TAMPA, FL 33613-4613
(813) 615-7848
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA69
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165
AAC CERTIFICATE
—
01
—
AA69
LICENSE
FL
01
—
G00L9
BLUE SHIELD
FL
Enumeration date
11/22/2010
Last updated
12/20/2010
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