Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradley Lasley, PA-C

Individual provider Physician Assistant · NPI 1568885077

Mr. Bradley Lasley, PA-C is a Physician Assistant in Winter Park, Florida. Practices as a sole proprietor. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2014
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

2005 Mizell Ave Ste 2100
Winter Park, FL 32792-4126
Phone: (407) 599-6460
Fax: (407) 599-6461
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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 PA9111766 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5606 (MA)

Record details

NPI number1568885077
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 4, 2014
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

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