Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anita Fazeli, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376232009

Anita Fazeli, DO is a Family Practice in Jacksonville, Florida. Graduated from William Carey University College of Osteopathic Medicine in 2023, 3 years ago. Practices as a sole proprietor.

Years since qualifying
3
Trained at
William Carey University College of Osteopathic Medicine
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2627 Riverside Ave
Jacksonville, FL 32204-4717
Phone: (904) 308-7372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376232009
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address2627 Riverside Ave, Jacksonville, FL 32204-4717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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