Provider Demographics
NPI:1720622798
Name:BRITO, CESAR A (PROSTHETIC SPECIALIS)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:A
Last Name:BRITO
Suffix:
Gender:M
Credentials:PROSTHETIC SPECIALIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 W BRANDON BLVD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4902
Mailing Address - Country:US
Mailing Address - Phone:813-731-2420
Mailing Address - Fax:
Practice Address - Street 1:744 W BRANDON BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4902
Practice Address - Country:US
Practice Address - Phone:813-731-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-03
Last Update Date:2019-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management