NPI 1649118175

Jonathan L Detlefs, EXEMPTAPP

Practitioner Chore Provider Jacksonville, FL

Practice location

Address: 13876 Atlantic Blvd, Jacksonville, FL 32225-3239
Phone: (904) 620-0000
Fax: (904) 274-0111

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence DL190541 (SD)

Other Chore Provider providers in Florida →

Registry record

NPI: 1649118175
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2026
Record last updated: 24 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.