Individual Provider
Mr. LUTHER QUITORIANO BRAGANZA PT
NPI Number1003000381
Practice Location
134 N OLD DIXIE HWY
LADY LAKE, FL, 32159-4347
Phone
(352) 751-6627
Mailing Address
10212 GRANITE CT
LEESBURG, FL, 347883130
Phone
(352) 751-6627
License Information
License Number
PT21044
State: FL
Important Dates
Enumeration Date
August 30, 2007
Last Updated
August 30, 2007