Individual provider · Type 1 NPI

Sheila R. Dickerman, PA

Physician Assistant · Summerfield, FL

NPI number 1104119874 Active

Practice location

17136 SE 109th Terrace Rd Ste 4
Summerfield, FL 34491-9032

Mailing address

2546 Middleton Grove Dr
Brandon, FL 33511-4784

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2079 (ME)
Physician Assistant Primary 363A00000XPA9105799 (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 1104119874

Sheila R. Dickerman, PA's National Provider Identifier is 1104119874, issued on May 27, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Summerfield, FL. The record was last updated on Sep 18, 2026.