Individual provider · Type 1 NPI

Samantha Bernice Richardson, PA

Physician Assistant · Tampa, FL

NPI number 1649136011 Active

Practice location

401 W Kennedy Blvd
Tampa, FL 33606-1490

Mailing address

3422 Angelica St
Cocoa, FL 32926-3658

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1649136011

Samantha Bernice Richardson, PA's National Provider Identifier is 1649136011, issued on Dec 30, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tampa, FL. The record was last updated on Dec 30, 2025.