Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Javieth H Detres, MD

Individual provider Internal Medicine Physician · NPI 1649404195

Javieth H Detres, MD is an Internal Medicine in Lauderdale Lakes, Florida. Qualified in 2006, 20 years ago. Practices with Guidewell Sanitas I, LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4850 W Oakland Park Blvd Ste 136
Lauderdale Lakes, FL 33313-7277
Phone: (844) 665-4827
Fax: (877) 762-0841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 140765 (FL)

Record details

NPI number1649404195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2009
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Guidewell Sanitas I, Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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