MEDICARE: JOEL RICHARDSON PMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	519923	FL

General Provider Information

NPI Number	:	1790641264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL RICHARDSON PMD

Provider Business Mailing Address
First Line	:	6575 N W ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32505-1714
Country	:	US
Telephone Number	:	850-393-2220
Fax Number	:

Provider Business Practice Location Address
First Line	:	6575 N W ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32505-1714
Country	:	US
Telephone Number	:	850-393-2220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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