Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Henry Hazellief, PA-C

Individual provider Physician Assistant · NPI 1669874822

Jacob Henry Hazellief, PA-C is a Physician Assistant in Vero Beach, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2014, 12 years ago. Practices with Inova Health Care Services, a 1,827-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1040 37th Pl Ste 101
Vero Beach, FL 32960-4808
Phone: (772) 563-4580
Fax: (772) 563-4690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9108172 (FL)

Record details

NPI number1669874822
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 19, 2014
Last updated in NPPESSeptember 19, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2014 (12 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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