Individual
JATNIEL BRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
738 NE 83RD TER, MIAMI, FL 33138-3611
(786) 397-2391
Mailing address
738 NE 83 TERRACE, MIAMI, FL 33138
(786) 397-2391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA23770
FLORIDA LICENSE
FL
Enumeration date
10/24/2014
Last updated
10/24/2014
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