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

Dr. Jacob Edward Tellier, MD

Individual provider Diagnostic Radiology Physician · NPI 1780985432

Dr. Jacob Edward Tellier, MD is a Diagnostic Radiology in Orlando, Florida. Graduated from University of New Mexico School of Medicine in 2010, 16 years ago. Practices with Florida Radiology Imaging at Lake Mary LLC, a 272-clinician group and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
16
Trained at
University of New Mexico School of Medicine
Licensed in
FL, KY
In the registry since
2010
Specialties on file
3
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

601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 303-9649
Fax: (407) 200-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 57452 (KY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence ME 123702 (FL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 57452 (KY)

Record details

NPI number1780985432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 11, 2010
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Florida Radiology Imaging At Lake Mary Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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