Search › Florida › 101YM0800X
Jack Fasteen
NPI 1164338265 · on the registry since 2026
Practice
- Address
- 200 S Harbor City Blvd Ste 401
Melbourne, FL 32901 - Phone
- (321) 259-1662
- Fax
- (321) 779-7729
- Organisation at this address
- Ralph Zipper Md Pa
Brian J Mallette Dpm Llc
Livewell Behavioral Health CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 8249 Devereux Dr Ste 101, Viera, FL
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida