Search › Florida › 363L00000X
Ellen Dethloff, NP
NPI 1811106222 · on the registry since 2007
Practice
- Address
- 303 N Clyde Morris Blvd # 8e
Coordinator Education-Clinical Affiliates
Daytona Beach, FL 32114 - Phone
- (386) 425-5800
- Fax
- (386) 425-5801
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-14
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