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

Ryan M. Dedeaux, PA

Individual provider Physician Assistant · NPI 1215316419

Ryan M. Dedeaux, PA is a Physician Assistant in Pensacola, Florida. Qualified in 2015, 11 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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

4541 N Davis Hwy Ste A
Pensacola, FL 32503-2733
Phone: (850) 494-9000
Fax: (850) 474-4123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108886 (FL)

Record details

NPI number1215316419
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESSeptember 1, 2015
Mailing addressPo Box 2699, Attn: Shmg/Hpe, Pensacola, FL 32513-2699

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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