Provider Demographics
NPI:1518257674
Name:FEYKO, JARED TODD (DO)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:TODD
Last Name:FEYKO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1824 KING ST
Mailing Address - Street 2:STE 200
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4736
Mailing Address - Country:US
Mailing Address - Phone:904-384-3343
Mailing Address - Fax:904-400-6671
Practice Address - Street 1:836 PRUDENTIAL DR
Practice Address - Street 2:STE 1804
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207
Practice Address - Country:US
Practice Address - Phone:904-398-3888
Practice Address - Fax:904-400-6675
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2019-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS159942086S0129X
WV27432086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty