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

Jordan Lane Lass, PA-C

Individual provider Physician Assistant · NPI 1730950163

Jordan Lane Lass, PA-C is a Physician Assistant in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 Winderley Pl Ste 115
Maitland, FL 32751-7406
Phone: (407) 875-0555
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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 PA9118385 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1730950163
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

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