SearchFlorida1041C0700X

Brian Shea, LCSW

NPI 1023628807 · on the registry since 2020 · sole proprietor

Practice

Address
740 Dunlawton Ave
Port Orange, FL 32127
Phone
(386) 763-1000
Organisation at this address
Primecare Acquisition Inc
Florida Health Care Plan, Inc
Halifax Healthcare Systems Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida