# DATTOLO INTEGRATED MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boundless Performance Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659027530
- **Authorized official:** DR. TOBY DATTOLO DC (OWNER/MANAGER)
- **Authorized official phone:** (561) 855-0668

## Contact information

- **Practice address:** 201 N US HIGHWAY 1 STE C6, JUPITER, FL 33477-5106
- **Practice address phone:** (561) 855-0668
- **Mailing address:** 201 N US HIGHWAY 1 STE C6, JUPITER, FL 33477-5106
- **Mailing address phone:** (561) 855-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022