IndividualActive
Allegra Richardson
NPI 1245609288 · Surgical Physician Assistant · Bradenton, FL
Provider details
- NPI number
- 1245609288
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA911640 (FL)
Mailing address
2010 59th St W Ste 2200
Bradenton, FL 34209-4689
Registry dates
- Enumerated
- 2015-09-21
- Last updated
- 2023-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.