LUTHER QUITORIANO BRAGANZA

LADY LAKE, FL
NPI1003000381
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT21044)
Enumeration Date2007-08-30
Last Update Date2007-08-30
Business Address
Mr. LUTHER QUITORIANO BRAGANZA PT
134 N OLD DIXIE HWY
LADY LAKE, FL 32159-4347
Phone number: 352-751-6627
Mailing Address
Mr. LUTHER QUITORIANO BRAGANZA PT
10212 GRANITE CT
LEESBURG, FL 34788-3130
Phone number: 352-751-6627
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