IndividualActive
Jennifer Dettloff, M.D.
NPI 1982925103 · Anatomic Pathology & Clinical Pathology Physician · Tampa, FL
Provider details
- NPI number
- 1982925103
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 125058726 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4225 E Fowler Ave
Suite B
Tampa, FL 33617-2026
Phone: (813) 972-7100
Fax: (813) 972-8269
Street-level locationGet directions
Mailing address
14275 Midway Rd
Addison, TX 75001-3614
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2016-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.