Richard E Jackson, PA-C
Richard E Jackson, PA-C is a Physician Assistant in Port Charlotte, Florida. Qualified in 1992, 34 years ago. Practices with Smh Physician Services Inc, a 774-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 34
- Licensed in
- FL
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
21260 Olean Blvd Ste 200Port Charlotte, FL 33952-6742
Phone: (941) 625-4270
Fax: (941) 625-1751
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA2962 (FL) |
|---|
Record details
| NPI number | 1174587505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2006 |
| Last updated in NPPES | September 9, 2020 |
| Certification date | September 9, 2020 |
| Mailing address | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Group practice | Smh Physician Services Inc — 774 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Port Charlotte
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Andrea Berecz-Prewitt
2400 Harbor Blvd Ste 7, Port Charlotte, FL 33952-5038 · (941) 766-5095
-
Grace Colarossi
1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 · (941) 629-6262
-
Kendall Karen Marotti, PA
1641 Tamiami Trl, Port Charlotte, FL 33948-1018 · (941) 629-6262
-
Iris Jeanne Swiderski, DHSC, PA-C
21298 Olean Blvd, Port Charlotte, FL 33952-6705 · (941) 629-1181