Individual
ALLEGRA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 59TH ST W, BRADENTON, FL 34209-4616
(941) 794-5621
Mailing address
2010 59TH ST W STE 2200, BRADENTON, FL 34209-4689
(941) 794-5621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA11020836
FL
363AS0400X
Surgical Physician Assistant
Primary
PA911640
FL
Other
Enumeration date
09/21/2015
Last updated
04/12/2023
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