Healthcare Provider Details

I. General information

NPI: 1700796679
Provider Name (Legal Business Name): ALEXANDER BRITO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10540 NW 78TH ST APT 419
DORAL FL
33178-6088
US

IV. Provider business mailing address

10540 NW 78TH ST APT 419
DORAL FL
33178-6088
US

V. Phone/Fax

Practice location:
  • Phone: 954-857-1457
  • Fax:
Mailing address:
  • Phone: 954-857-1457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT43727
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: