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

Mr. Jonathan L Detlefs, EXEMPTAPP

Individual provider Chore Provider · NPI 1649118175

Mr. Jonathan L Detlefs, EXEMPTAPP is a Chore Provider in Jacksonville, Florida. Licensed in South Dakota. Registered with an NPI since 2026.

Licensed in
SD
In the registry since
2026

Practice location Address checks out

13876 Atlantic Blvd
Jacksonville, FL 32225-3239
Phone: (904) 620-0000
Fax: (904) 274-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chore Provider (primary) Taxonomy 372500000X · Licence DL190541 (SD)

Record details

NPI number1649118175
Entity typeIndividual (Type 1)
GenderMale
Credentials EXEMPTAPP
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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