Individual
DR. JACOB ALLEN FLATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGAC-DNP
Contact information
Practice address
22 UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 872-7754
Mailing address
22 UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 872-7754
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2465074
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11040471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129019200
—
FL
Enumeration date
06/03/2025
Last updated
11/10/2025
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