NPI 1003000381

Luther Quitoriano Braganza, PT

Practitioner Physical Therapist Lady Lake, FL

Practice location

Address: 134 N Old Dixie Hwy, Lady Lake, FL 32159-4347
Phone: (352) 751-6627
Mailing address: 10212 Granite CT, Leesburg, FL 34788-3130

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT21044 (FL)

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Registry record

NPI: 1003000381
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2007
Record last updated: 30 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.