Individual provider · Type 1 NPI

Dale Shaquille Richardson, PA-C

Physician Assistant · Brandon, FL

NPI number 1245017540 Active

Practice location

671 S Kings Ave
Brandon, FL 33511-6048

Mailing address

190 Williams Ave
Richmond Hill, GA 31324-7215

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPENDING (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 1245017540

Dale Shaquille Richardson, PA-C's National Provider Identifier is 1245017540, issued on Sep 11, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brandon, FL. The record was last updated on Sep 11, 2023.