Individual
SEAN PATRICK CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
901 S FLAGLER DR, WEST PALM BEACH, FL 33401-6505
(305) 609-8449
Mailing address
383 MAHOGANY PT, JUPITER, FL 33458-8352
(305) 609-8449
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
AL142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL142
—
FL
Enumeration date
09/05/2019
Last updated
09/05/2019
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