Provider Demographics
NPI:1477879377
Name:NITTO, DENNIS JOHN
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JOHN
Last Name:NITTO
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:JOHN
Other - Last Name:NITTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:200 SW 14TH PL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7180
Mailing Address - Country:US
Mailing Address - Phone:561-327-1330
Mailing Address - Fax:
Practice Address - Street 1:13860 WELLINGTON TRCE
Practice Address - Street 2:SUITE 13
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8588
Practice Address - Country:US
Practice Address - Phone:561-793-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2387111N00000X
NJ38MC00165300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor