Provider Demographics
NPI:1427181833
Name:FARRIER, SEAN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:EDWARD
Last Name:FARRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 W BEACH PARK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3705
Mailing Address - Country:US
Mailing Address - Phone:813-282-8171
Mailing Address - Fax:
Practice Address - Street 1:5610 W LA SALLE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1770
Practice Address - Country:US
Practice Address - Phone:813-287-8998
Practice Address - Fax:813-251-1136
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76315207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology