MR. SEAN MATHEW WEISER


Address: 744 E Burgess Rd, Suite A105, Pensacola, FL 32504-6227
Phone: 8503841023

MR. SEAN MATHEW WEISER (NPI# 1336384783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336384783
Entity Type Individual
Full Name MR. SEAN MATHEW WEISER
Credential LMT
Practice Address 744 E Burgess Rd
Suite A105
Pensacola
FL 32504-6227
Mailing Address 1153 Willowood Cir
Gulf Breeze
FL 32563-5432
Practice Telephone 8503841023
Mailing Telephone 8503841023
Enumeration Date 2008-12-12
Last Update Date 2008-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MA-32816 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS C1521 01

Office Location

Street Address 744 E BURGESS RD
SUITE A105
City PENSACOLA
State FL
Zip Code 32504-6227

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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NPI Name Taxonomy Address Enumeration
1528338522 Paul E Pearson Specialist 6400 N Davis Hwy, Suite 2, Pensacola, FL 32504-6903 2012-01-06
1932403409 Staci Ann Jagoe Specialist 455 Shiloh Dr, Pensacola, FL 32503-7713 2010-12-27
1154640308 Cristen Miller Specialist 4470 Spanish Trl, 97, Pensacola, FL 32504-4903 2010-05-27
1437482023 Daniel Paul Hobgood Iv Specialist 4317 Spanish Trl, Pensacola, FL 32504-4942 2009-09-14
1841470895 Still Waters Medical Spa Specialist 20 N Tarragona St, Pensacola, FL 32502-6063 2007-11-07
1306032420 Janice Leigh Nicholson Specialist 4438 Omaha Dr, Pensacola, FL 32507-7746 2007-09-21
1396938247 Harry James Beecham IIi Specialist 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 2007-08-23
1174713531 Kotlarz Ent and Facial Plastic Surgery Specialist 6100 N Davis Hwy, Pensacola, FL 32504-6950 2007-07-31
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Competitor

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City PENSACOLA
Zip Code 32504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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