Individual
BRADLEY J LASKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2015 EDGEWATER DR, ORLANDO, FL 32804-5311
(407) 872-0282
Mailing address
7725 FORDSON LN, WINDERMERE, FL 34786-6735
(407) 435-4261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61503
FL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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