Active NPI
Lucet at Home of Florida PA
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1265393847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- LUCET AT HOME OF FLORIDA PA
- Practice address
- 4800 Deerwood Campus Pkwy
Building 400, Suite DCC4-1-002
Jacksonville, FL 32246-8317 - Phone
- (877) 887-1797
- NPI assigned
- Nov 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Martin, MD
- Title
- President/Ceo
- Phone
- (636) 409-8110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4800 Deerwood Campus Pkwy
Building 400, Suite DCC4-1-002
Jacksonville, FL 32246-8317
Mailing address
6100 Sprint Pkwy Ste 200
Overland Park, KS 66211-1196
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2336102 | Lucet at Home of Florida PA | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
4800 Deerwood Campus Pkwy
Unit 400
Jacksonville, FL 32246
Phone (877) 887-1797
6100 Sprint Pkwy
Ste 200
Overland Park, KS 66211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1265393847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 SPRINT PKWY STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 DEERWOOD CAMPUS PKWY",
"address_2": "BUILDING 400, SUITE DCC4-1-002",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468317",
"telephone_number": "877-887-1797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCET AT HOME OF FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "636-409-8110",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.