# ACTIVE LIVING MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346819448
- **Authorized official:** MS. JODI L JAKIEL (OWNER)
- **Authorized official phone:** (407) 384-4904

## Contact information

- **Practice address:** 8257 NARCOOSSEE PARK DR STE 516, ORLANDO, FL 32822-5545
- **Practice address phone:** (407) 384-4904
- **Mailing address:** 8257 NARCOOSSEE PARK DR STE 516, ORLANDO, FL 32822-5545
- **Mailing address phone:** (407) 616-6279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/24/2021