Provider Demographics
NPI:1700260643
Name:HEENEHAN, SEAN (RRT)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:HEENEHAN
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 QUEENS ST
Mailing Address - Street 2:APT 822
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8252
Mailing Address - Country:US
Mailing Address - Phone:941-780-2100
Mailing Address - Fax:
Practice Address - Street 1:3451 QUEENS ST
Practice Address - Street 2:APT 822
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8252
Practice Address - Country:US
Practice Address - Phone:941-780-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 37532279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care