Organization Active NPI

Lucet at Home of Florida PA

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1265393847
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Nov 21, 2025

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2336102Lucet at Home of Florida PA4800 Deerwood Campus Parkway Building 400, Jacksonville, FL 32246Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.