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SEAN ADAM MACK PA-C NPI 1326707118


NPI Information

NPI: 1326707118
Provider Name: SEAN ADAM MACK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1001 S FORT HARRISON AVE STE 101
CLEARWATER, FL
ZIP 33756
Phone: (727) 441-5044
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Sean Adam Mack, PA-C is a medical physician assistant in Clearwater, FL. Sean Adam Mack, PA-C NPI is 1326707118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 S FORT HARRISON AVE STE 101
CLEARWATER, FL
ZIP 33756-941
Phone: (727) 441-5044

The enumeration date for this NPI number is 12/9/2021 and was last updated on 12/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA9115105FLORIDANo
2363AM0700XPhysician AssistantMedicalPA9115105FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.