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DR. JENNIFER LYNN DETTLOFF M.D. NPI 1982925103


NPI Information

NPI: 1982925103
Provider Name: DR. JENNIFER LYNN DETTLOFF, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
4225 E FOWLER AVE
SUITE B
TAMPA, FL
ZIP 33617
Phone: (813) 972-7100
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DR. Jennifer Lynn Dettloff, M.D. is an anatomic pathology and clinical pathology pathology in Tampa, FL. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Jennifer Lynn Dettloff, M.D. NPI is 1982925103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4225 E FOWLER AVE
SUITE B
TAMPA, FL
ZIP 33617-026
Phone: (813) 972-7100
Fax: (813) 972-8269

The enumeration date for this NPI number is 6/22/2010 and was last updated on 10/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology125058726ILLINOISNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyME127025FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IR179ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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