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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAVIETH H DETRES, MD

Active Sole Proprietor

JAVIETH H DETRES, MD is a Internal Medicine healthcare provider located in LAUDERDALE LAKES, Florida. NPI 1649404195 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LAUDERDALE LAKES, FL

Registration Details

NPI Number
1649404195
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2009 (17.243372064458 yrs)
Last Updated
Feb 19, 2025
License
140765 (FL)
Sole Proprietor
Yes

Practice Information

Address
4850 W OAKLAND PARK BLVD STE 136
LAUDERDALE LAKES, FL, 333137277
Browse FL providers · Browse ZIP 33313
Phone
8446654827
Fax
8777620841
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in LAUDERDALE LAKES, FL

Name Credential NPI
DR. HUMAIRA V KHAN MD 1356344493
DANIEL MELMAN MD 1104814615
REGINA B PORTNOVA M.D. 1114908373
DR. BELA L KOVACS MD 1154394138
MR. JOEL FRANKEL MD 1568436855
DR. JUAN VILLARROEL MD 1174577506
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.