Luther Quitoriano Braganza PT

NPI 1003000381 - Physical Therapist - 225100000X

NPI Details
NPI 1003000381
Gender Male
Enumeration Date 08/30/2007
Last Updated 08/30/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
134 N OLD DIXIE HWY
LADY LAKE FL, 32159-4347, US
Phone (352) 751-6627
Fax
Business Location
10212 GRANITE CT
LEESBURG FL, 34788-3130, US
Phone (352) 751-6627
Fax
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PT21044
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According to our database, Mr. Luther Quitoriano Braganza PT NPI is 1003000381, taxonomy code is 225100000X and license number is PT21044, license state is located at Florida. Luther Quitoriano Braganza PT physically located at 134 N Old Dixie Hwy, Lady Lake FL, 32159-4347. NPI Number Luther Quitoriano Braganza PT has the Individual type.

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1003000381 NPI number is provided on an as is basis without warranty of any kind. 1003000381 is maintained by the National Plan & Provider Enumeration System. The contents of Luther Quitoriano Braganza PT are for informational purposes only.