NPIMap

Organization Active NPI

Michael Dattoli PLC

Doing business as Dattoli Cancer Center

  • Specialist
  • Sarasota, FL
National Provider Identifier
1053553354
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0058562 Issued in FL
Legal business name
MICHAEL DATTOLI PLC
Doing business as
Dattoli Cancer Center
Practice address
2803 Fruitville Road
Sarasota, FL 34237-5344
Phone
(941) 957-4926
Fax
(941) 957-0038
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael J Dattoli, MDNPI 1235240664
Title
President
Phone
(941) 957-4926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0058562 FL Primary

Addresses

Primary practice location

2803 Fruitville Road
Sarasota, FL 34237-5344

Mailing address

2803 Fruitville Rd
Sarasota, FL 34237-5344
Phone (941) 957-4926

Other names 1

  • Dattoli Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000682 FL Part B Supplier - Clinic/Group Practice 6406904549 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1053553354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375344",
            "telephone_number": "941-957-4926",
            "fax_number": "941-957-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE ROAD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375344",
            "telephone_number": "941-957-4926",
            "fax_number": "941-957-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DATTOLI PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "DATTOLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-957-4926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dattoli Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.