| 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 | Chiropractor |
| Location | 201 N Us Highway 1 Ste C6, Jupiter, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013669886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13891 (Florida) | Primary |
| 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 |
Spinal Decompression Of South Florida, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2632 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-744-7373 Fax: 561-743-1192 | |
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