Individual
MR. MICHAEL JOSEPH DATTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2803 FRUITVILLE RD, SUITE 1, SARASOTA, FL 34237-5344
(941) 957-4926
Mailing address
2803 FRUITVILLE RD, SUITE 1, SARASOTA, FL 34237-5344
(941) 957-4926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME58562
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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