DR. JENNIFER LYNN DETTLOFF


Address: 4225 E Fowler Ave, Suite B, Tampa, FL 33617-2026
Phone: 8139727100

DR. JENNIFER LYNN DETTLOFF (NPI# 1982925103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982925103
Entity Type Individual
Full Name DR. JENNIFER LYNN DETTLOFF
Credential M.D.
Practice Address 4225 E Fowler Ave
Suite B
Tampa
FL 33617-2026
Mailing Address 14275 Midway Rd
Suite 400
Addison
TX 75001-3614
Practice Telephone 8139727100
Practice Fax Number 8139728269
Mailing Telephone 8139727100
Mailing Fax Number 6102714245
Enumeration Date 2010-06-22
Last Update Date 2016-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
ME127025 FL Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
125058726 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 4225 E FOWLER AVE
SUITE B
City TAMPA
State FL
Zip Code 33617-2026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891731626 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 4225 E Fowler Ave, Tampa, FL 33617-2026 2006-06-21
1730302324 Guo-zhao Yao Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1295958940 Angelina L Valcos-sarau Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1801019203 Freddye Michelle Lemons Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1497978118 Rawia S Yassin Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1861615478 Gary Dean Reynolds Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1528281193 Karen F. Harris Pathology 4225 E Fowler Ave, Quest Diagnostics, Inc., Tampa, FL 33617-2026 2007-04-11
1164645768 Jose Antonio Rosa-sierra Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1902920614 Luis Alonso Diaz-rosario Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-03-19
1538292289 Nereida Romero Pathology 4225 E Fowler Ave, Tampa, FL 33617-2026 2007-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285253195 Kare Medical Equipment Inc. Durable Medical Equipment & Medical Supplies 7860 North 56th Street, Tampa, FL 33617 2020-04-10
1942840467 Care Medrx LLC Pharmacy 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 2020-01-13
1467004804 Favorite Care Services, LLC In Home Supportive Care 7628 N 56th St Ste 2, Tampa, FL 33617 2019-07-16
1982265625 Promise Home Care Agency LLC In Home Supportive Care 315 Bahamas Ave, Tampa, FL 33617 2019-06-24
1164912754 Superior Physician Group Pain Medicine 10730 N 56th St Ste 209, Temple Terrace, FL 33617 2018-05-18
1346738796 Advanced Pain Management and Anesthesiology Clinic/Center 4209 E. Busch Blvd, Tampa, FL 33617 2018-05-01
1184112427 Imperial Connections Support Programs, LLC In Home Supportive Care 9806 N Connechusett Rd, Tampa, FL 33617 2018-04-23
1609394204 Erin E Sleeper Behavior Technician 418 Belle Claire Ave, Temple Terrace, FL 33617 2017-09-03
1720504293 Robin A Kelly Nurse's Aide 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 2017-08-16
1174046023 Rishita Amish Patel Pharmacist 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 2017-07-24
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982154167 Johnny Paul Hughes Pathology 18317 Cypress Stand Cir, Tampa, FL 33647-1816 2016-10-11
1710368501 Archi Patel Pathology 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 2015-06-17
1760800460 Phoutthasone Thirakul Pathology 11025 N 46th St, Tampa, FL 33617-2000 2014-04-01
1497047575 Liying Fu Pathology 5751 Hoover Boulevard, Tampa, FL 33634-5340 2011-05-09
1073812608 Maryam Tahmasbi Pathology 13220 Usf Laurel Dr, 5th Floor, Tampa, FL 33612-4742 2011-03-22
1548564743 Jun Zhou Pathology 14225 East Fowler Avenue, Suite B, Tampa, FL 33617-2026 2011-01-03
1932433570 Daryoush Saeed-vafa Pathology 402 S Armenia Ave Unit 131, Tampa, FL 33609-3300 2009-09-30
1164680286 Gino Franco Piparo Pathology 12901 Bruce B Downs Blvd # 11, Tampa, FL 33612-4742 2008-05-27
1780807057 Piotr Borkowski Pathology 4225 East. Fowler Ave, Tampa, FL 33617-2026 2007-04-11
1013064021 Joseph Andrew Migliozzi Pathology 9812 Compass Point Way, Tampa, FL 33615-4218 2007-01-04
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Competitor

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City TAMPA
Zip Code 33617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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