Provider Demographics
NPI:1003320987
Name:CABRERA, BRITTANY ANN (LMT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:CABRERA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13312 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:ASTATULA
Mailing Address - State:FL
Mailing Address - Zip Code:34705-9449
Mailing Address - Country:US
Mailing Address - Phone:786-389-3479
Mailing Address - Fax:
Practice Address - Street 1:910 MOUNT HOMER RD
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6258
Practice Address - Country:US
Practice Address - Phone:352-357-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist