Dettloff, Jennifer Lynn

Dettloff, Jennifer Lynn is an individual health care provider with primary practice located at 4225 E Fowler Ave Suite B, Tampa FL 33617-2026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dettloff, Jennifer Lynn can be contacted via phone (813) 972-7100.

Contact Information

Primary practice address
4225 E Fowler Ave Suite B Tampa FL 33617-2026
Phone: (813) 972-7100
Fax: (813) 972-8269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 125058726 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME127025 Florida

Profile Details

NPI number 1982925103
LBN Legal business name Dettloff, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Oct 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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