Powell, Richard Shaw
Powell, Richard Shaw is an individual health care provider with primary practice located at 910 Oakfield Dr Suite 102, Brandon FL 33511-4925. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Powell, Richard Shaw can be contacted via phone (813) 681-4413.Contact Information
Primary practice address
910 Oakfield Dr Suite 102
Brandon FL 33511-4925
Phone: (813) 681-4413
Fax: (813) 684-7299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME39079 | Florida |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ME39079 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME39079 | Florida |
Profile Details
| NPI number | 1780620963 |
|---|---|
| LBN Legal business name | Powell, Richard Shaw |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Nov 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780620963 | NPPES |
| Florida | MEDICAID | 068489900 | |
| Florida | Other | 1780620963 |
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