Provider Demographics
NPI:1144371535
Name:TUTTOLOMONDO, JOSEPH VINCENT (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VINCENT
Last Name:TUTTOLOMONDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4095 SR 7
Mailing Address - Street 2:STE I
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8179
Mailing Address - Country:US
Mailing Address - Phone:561-868-0321
Mailing Address - Fax:561-868-5707
Practice Address - Street 1:4095 STATE ROAD 7
Practice Address - Street 2:SUITE I
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-8178
Practice Address - Country:US
Practice Address - Phone:561-868-0321
Practice Address - Fax:561-868-5707
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7514111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55834Medicare ID - Type Unspecified