Provider Demographics
NPI:1427284603
Name:MAYO, SEAN RAYE (LPN, EMT-B)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:RAYE
Last Name:MAYO
Suffix:
Gender:M
Credentials:LPN, EMT-B
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Mailing Address - Street 1:5682 BEE RIDGE RD
Mailing Address - Street 2:SUITE 100, 2ND FLOOR
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1540
Mailing Address - Country:US
Mailing Address - Phone:941-371-3349
Mailing Address - Fax:941-371-9629
Practice Address - Street 1:5682 BEE RIDGE RD
Practice Address - Street 2:SUITE 100, 2ND FLOOR
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1540
Practice Address - Country:US
Practice Address - Phone:941-371-3349
Practice Address - Fax:941-371-9629
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXB1448799146N00000X
FLPN1150051164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic