MR. BRADFORD GREGORY LEDZIAN


Address: 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521
Phone: 4073032474

MR. BRADFORD GREGORY LEDZIAN (NPI# 1952376907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952376907
Entity Type Individual
Full Name MR. BRADFORD GREGORY LEDZIAN
Credential PA-C
Practice Address 2415 N Orange Ave Ste 700
Orlando
FL 32804-5521
Practice Telephone 4073032474
Practice Fax Number 4073030680
Mailing Telephone 4073032474
Mailing Fax Number 4073030680
Enumeration Date 2006-02-22
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 25MP00085600 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 001228 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9107190 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PTAN HI023Z 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2415 N Orange Ave, Suite 600, Orlando, FL 328045505 4073035600 4073030678

Office Location

Street Address 2415 N ORANGE AVE STE 700
City ORLANDO
State FL
Zip Code 32804-5521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891353256 Caroline Coffey Physician Assistant 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2019-05-31
1821585498 Vanessa Lynn Cichon Nurse Practitioner 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2018-04-18
1265935654 Angelea D Collins Nurse Practitioner 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2018-03-13
1710499314 Fakhreddin Rostami Fard Nurse Practitioner 2415 N Orange Ave Ste 700, Orlando, FL 32804 2017-11-03
1447769617 Brian Cardona Physician Assistant 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2017-09-20
1013386069 Dennis Paray Nurse Practitioner 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2015-09-21
1295133619 Jennifer Charles Nurse Practitioner 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2014-12-17
1467851923 Maureen Marie Popke Physician Assistant 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2014-08-20
1912314030 Shady Guirguis Internal Medicine 2415 N Orange Ave Ste 700, Orlando, FL 32804 2014-07-21
1699032979 Fameisha Rene Williams Nurse Practitioner 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 2012-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881252716 Alyssa Bass Counselor 3130 Edgewater Dr, Orlando, FL 32804 2019-06-05
1841856366 Debora Cheryl Ramirez Technician/Technologist 1231 North Orange Ave, Orlando, FL 32804 2019-05-10
1679074009 Jessica Dobbs Counselor 3801 Grant Blvd, Orlando, FL 32804 2018-02-21
1881109031 Pedro Mendez Jr. Counselor 1800 W. Colonial Drive, Orlando, FL 32804 2017-12-11
1902259310 Michael Lo Nurse Practitioner 2400 N Orange Ave Ste 302, Orlando, FL 32804 2016-07-20
1083093595 Michael Gregg Student in an Organized Health Care Education/Training Program 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 2015-05-29
1922485473 Lindsay Rae Piet Physician Assistant 1910 N. Orange Ave., Orlando, FL 32804 2015-05-05
1093106189 College Park Community Acupuncture & Herbal Medicine Acupuncturist 710 W. Princeton Street., Suite A, Orlando, FL 32804 2015-02-10
1164822359 Orlando Sleep Solutions, LLC Durable Medical Equipment & Medical Supplies 2921 N. Orange Ave, Orlando, FL 32804 2014-08-26
1780926741 Joseph Arturo Reza Student in an Organized Health Care Education/Training Program 2415 N Orange Ave #400, Orlando, FL 32804 2013-03-17
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
1750843405 Heather Louise Anderson Physician Assistant 5422 Lewiston St, Orlando, FL 32812 2019-04-02
1649600891 Raul F Velez Physician Assistant 14139 Budworth Cir, Orlando, FL 32832-6123 2013-11-24
1255630075 Joleen Chapman Physician Assistant 122 Annie St, Orlando, FL 32806-1214 2011-03-18
1124354600 Tiffany M Murray Physician Assistant 83 W Copeland Dr, Orlando, FL 32806-2002 2009-10-19
1225277825 M Catherine Broderick Physician Assistant 1720 S Cook Avenue, Orlando, FL 32808 2009-02-05
1033360938 Monica M Rivera Physician Assistant 2591 Carrickton Cir, Orlando, FL 32824-4217 2008-10-09
1316104383 Michele D Young Physician Assistant 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 2008-05-19
1033162011 Southeastern Clinical Services,inc. Physician Assistant 4215 Edgewater, Orlando, FL 32804 2006-05-18
1386696631 Kevin P Kingsley Physician Assistant 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 2006-05-16
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Competitor

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City ORLANDO
Zip Code 32804

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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