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

Dr. Hanain Fazal, DO

Individual provider Family Medicine Physician · NPI 1013658350

Dr. Hanain Fazal, DO is a Family Practice in Jacksonville, Florida. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2022, 4 years ago. Practices with St Vincents Medical Center Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
FL
In the registry since
2022
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

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS22601 (FL)

Record details

NPI number1013658350
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
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 schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2022 (4 years in practice)
Group practice St Vincents Medical Center Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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