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

Dr. Adly Thebaud, MD

Individual provider Psychiatry Physician · NPI 1629049770

Dr. Adly Thebaud, MD is a Psychiatry in Orange City, Florida. Qualified in 1978, 48 years ago. Practices with Adly Thebaud, MD, PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
48
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2725 Rebecca Ln Ste 107
Orange City, FL 32763-8350
Phone: (386) 775-0736
Fax: (386) 775-0738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME60436 (FL)

Record details

NPI number1629049770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 27, 2006
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address2725 Rebecca Ln Ste 107, Orange City, FL 32763-8350

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Adly Thebaud,Md,Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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