Individual
MANUEL BRITO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10103 BAY WIND CT, TAMPA, FL 33615-2634
(813) 443-2222
Mailing address
10103 BAY WIND CT, TAMPA, FL 33615-2634
(813) 443-2222
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AL11790
FL
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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