Fiaz Ahmad Jaleel, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME80212 Issued in FL

Practice address

2725 Rebecca LN
Suite 107
Orange City, FL 32763-8350

Phone

(386) 775-0736

Fax

(386) 775-0738

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adly Thebaud,MD,PA

  • Community/Behavioral Health Agency
  • Orange City, FL
  • NPI 1417018482
  NPD (past)
• Community Orthopedics, Dr. Dhiman and Associates

  • Orthopaedic Surgery Physician
  • Joliet, IL
  • NPI 1013097336
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1992896369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SUTTON PARK DR S STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245291",
            "telephone_number": "904-744-7474",
            "fax_number": "904-786-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 REBECCA LN",
            "address_2": "SUITE 107",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638350",
            "telephone_number": "386-775-0736",
            "fax_number": "386-775-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALEEL",
        "first_name": "FIAZ",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Jackson, PA-C
• Sheryl L. Jackson, MS, CCC-A
• Kwana Jacobs
• Maya Jacobs
• Jaime J Perez DC Inc
• Ashley Jean
• Jena Medical Group, LLC
• Taylor Jerrall, OTR/L
• Emily Jessup, BCBA
• Jessup, Inc

• All providers in Orange City, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.