Search › Florida › 363A00000X
Bradley Lasley, PA-C
NPI 1568885077 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2005 Mizell Ave Ste 2100
Winter Park, FL 32792 - Phone
- (407) 599-6460
- Fax
- (407) 599-6461
- Organisation at this address
- Adventist Health System-Sunbelt Inc Adventhealth Orlando
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida