Individual
SEAN D RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 LEE BLVD, LEHIGH REGIONAL MEDICAL CENTER, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
(239) 368-4510
Mailing address
1500 LEE BLVD, LEHIGH REGIONAL MEDICAL CENTER, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
(239) 368-4510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290503500
—
FL
Enumeration date
12/05/2005
Last updated
11/10/2011
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