Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH7514 | FL |
NPI | 1144371535 |
---|---|
Provider Name | Dr. Joseph Vincent Tuttolomondo |
First Address | Lake Worth, FL 33449-8179 |
Second Address | Lake Worth, FL 33467-8178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 21/11/2016 |