Individual
CLOVIS AIRTON MARTINS BRAGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35910 US27 S, HAINES CITY, FL 33844
(863) 421-1777
Mailing address
10618 REAGANS RUN DR, CLERMONT, FL 34711-6426
(240) 849-9909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41927
FL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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