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

Lisa Ann Blacklidge, PA-C

Individual provider Surgical Physician Assistant · NPI 1275596728

Lisa Ann Blacklidge, PA-C is a Surgical Physician Assistant in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2006.

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.

See every abbreviation used in this directory →

Practice location Address checks out

206 2nd St E
Bradenton, FL 34208-1042
Phone: (941) 746-5111
Fax: (941) 745-7233
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9101122 (FL)

Record details

NPI number1275596728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESJuly 21, 2022

Other providers in Bradenton