| Dr Toby Richard Dattolo, DC | |
|
201 N Us Highway 1 Ste C6, Jupiter, FL 33477-5106 | |
| (561) 855-0668 | |
| Not Available |
| Full Name | Dr Toby Richard Dattolo |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 5 Years |
| Location | 201 N Us Highway 1 Ste C6, Jupiter, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013669886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13891 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifeclinic Physical Therapy And Chiropractic Llc | 7214222793 | 4 |
| Provider Name | Lifeclinic Physical Therapy & Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679937601 PECOS PAC ID: 7214222793 Enrollment ID: O20160823001445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Toby Richard Dattolo, DC 201 N Us Highway 1 Ste C6, Jupiter, FL 33477-5106 Ph: (561) 855-0668 | Dr Toby Richard Dattolo, DC 201 N Us Highway 1 Ste C6, Jupiter, FL 33477-5106 Ph: (561) 855-0668 |
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