Individual
JONATHAN ROSS DATTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12416 66TH ST STE A, LARGO, FL 33773-3430
(727) 547-4700
(727) 394-8661
Mailing address
12416 66TH ST STE A, LARGO, FL 33773-3430
(727) 547-4700
(727) 394-8661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME144420
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME144420
FL
Other
Enumeration date
03/16/2014
Last updated
03/28/2026
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