Individual
MR. BRADFORD GREGORY LEDZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680
Mailing address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001228
CT
363A00000X
Physician Assistant
25MP00085600
NJ
363AS0400X
Surgical Physician Assistant
Primary
PA9107190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HI023Z
PTAN
FL
Enumeration date
02/22/2006
Last updated
10/01/2020
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