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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780620963 NPPES
Florida MEDICAID 068489900
Florida Other 1780620963

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