SearchFlorida372500000X

Jonathan Detlefs, EXEMPT APP

NPI 1649118175 · on the registry since 2026

Practice

Address
13876 Atlantic Blvd
Jacksonville, FL 32225
Phone
(904) 620-0000
Fax
(904) 274-0111

Registry record

Primary taxonomy
372500000X
372500000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida