Individual provider · Type 1 NPI

Richard Axelsen, PA

Physician Assistant · St. Augustine, FL

NPI number 1063227734 Active

Practice location

110 Health Park Blvd
St. Augustine, FL 32086-5776

Call (631) 603-7980 Map

Mailing address

PO Box 100237
Gainesville, FL 32610-0237

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1219969 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063227734

Richard Axelsen, PA's National Provider Identifier is 1063227734, issued on Feb 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jun 27, 2026.