Individual
DR. FIAZ AHMAD JALEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2725 REBECCA LN, SUITE 107, ORANGE CITY, FL 32763-8350
(386) 775-0736
(386) 775-0738
Mailing address
13500 SUTTON PARK DR S STE 202, JACKSONVILLE, FL 32224-5291
(904) 744-7474
(904) 786-9954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80212
FL
Other
Enumeration date
09/28/2006
Last updated
09/25/2018
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