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1649404195
JAVIETH H DETRES
LAUDERDALE LAKES, FL
NPI
1649404195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PR 18483)
Enumeration Date
2009-05-13
Last Update Date
2024-11-07
Business Address
JAVIETH H DETRES MD
4850 W OAKLAND PARK BLVD STE 136
LAUDERDALE LAKES, FL 33313-7277
Phone number: 844-665-4827
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Mailing Address
JAVIETH H DETRES MD
9150 MERIDIAN DR E
PARKLAND, FL 33076-4612
Phone number: 787-240-4646
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