SEAN ELLIS MCMICKEN

BARTOW, FL
NPI1598848327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ARNP3170022)
Enumeration Date2006-10-23
Last Update Date2013-10-21
Business Address
-- SEAN ELLIS MCMICKEN NP
2200 OSPREY BLVD
BARTOW, FL 33830-3308
Phone number: 800-893-9698
Mailing Address
-- SEAN ELLIS MCMICKEN NP
200 CORPORATE BLVD. SUITE 201
LAFAYETTE, LA 70508
Phone number: 800-893-9698
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