Organization · Type 2 NPI

Lucet at Home of Florida PA

Nurse Practitioner · Jacksonville, FL

NPI number 1265393847 Active

Practice location

4800 Deerwood Campus Pkwy, Building 400, Suite DCC4-1-002
Jacksonville, FL 32246-8317

Call (877) 887-1797 Map

Mailing address

6100 Sprint Pkwy Ste 200
Overland Park, KS 66211-1196

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265393847

Lucet at Home of Florida PA's National Provider Identifier is 1265393847, issued on Nov 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 21, 2025.