Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Brandao Redquest, PA

Individual provider Physician Assistant · NPI 1578318960

Nicole Brandao Redquest, PA is a Physician Assistant in Tampa, Florida. Qualified in 2023, 3 years ago. Practices with Larry M Perich DO PA, an 11-clinician group and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
3
Licensed in
FL, SC
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone: (813) 963-2020
Fax: (813) 265-2842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118484 (FL)
Physician Assistant Taxonomy 363A00000X · Licence MPA.5236 (SC)

Record details

NPI number1578318960
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Larry M Perich Do Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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