Individual
DR. ANDREW DATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9380 SUNSET DR STE B245, MIAMI, FL 33173-5466
(305) 223-0570
Mailing address
9380 SW 72ND ST STE B245, MIAMI, FL 33173-5466
(305) 223-0570
(305) 223-0580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS17186
FL
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
.
FL
Enumeration date
03/06/2008
Last updated
07/01/2021
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