SearchFlorida363LA2200X

Jacob Flatten, AGAC-DNP

NPI 1962395392 · on the registry since 2025 · sole proprietor

Practice

Address
22 Underwood St
Orlando, FL 32806
Phone
(407) 648-3800
Fax
(407) 872-7754
Clinicians at this address
15

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
163WG0000X
Licence states on file
MN, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-10

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