Syed Khooshal Fareeduddin, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

45090 Issued in FL

Practice address

4421 Sun N Lake Blvd Ste B
Sebring, FL 33872-2172

Phone

(863) 402-3130

NPI assigned

Jun 15, 2026

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1114852068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 SUN N LAKE BLVD STE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722172",
            "telephone_number": "863-402-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 SUN N LAKE BLVD STE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722172",
            "telephone_number": "863-402-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREEDUDDIN",
        "first_name": "SYED KHOOSHAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "45090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Extended Care of Sebring, Inc.
• Family Home Health Services LLC (VitalCaring Group)
• Family Solutions of Central LLC
• Kimberly Kae Fane, PTA
• Sandra D Fantauzzi, PAC
• Rebecca M Farias, LPN
• Stephanie Diane Farrer, L.M.T.
• Elena F Febre, MD
• Robert E. Fell, PA-C
• Fellowship Home at the Fairway

• Student in an Organized Health Care Education/Training Program in Sebring, FL
• Providers in Sebring, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.