Individual
DR. RICHARD SHAW POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 OAKFIELD DR, SUITE 102, BRANDON, FL 33511-4925
(813) 681-4413
(813) 684-7299
Mailing address
910 OAKFIELD DR, SUITE 102, BRANDON, FL 33511-4925
(813) 681-4413
(813) 684-7299
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME39079
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME39079
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME39079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068489900
—
FL
01
—
1780620963
NPPES
FL
Enumeration date
06/22/2006
Last updated
11/02/2020
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