Lucid Star Healthcare of Florida

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LUCID STAR HEALTHCARE OF FLORIDA

Practice address

841 Prudential Dr
12TH. Floor
Jacksonville, FL 32207-8329

Phone

(877) 296-2293

NPI assigned

Mar 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Tobey

Title

Director

Phone

(904) 534-8814

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1265825145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR",
            "address_2": "12TH. FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "877-296-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR",
            "address_2": "12TH. FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "877-296-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID STAR HEALTHCARE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-534-8814"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007140900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucet at Home of Florida PA
• Paul D Lucey, MD
• Tiffany R Luchka
• Anthony Louis Luciano, M.D.
• Lucid Healthcare Services LLC
• Anthony R Lucien
• Lucille'S Loving Care Services, Inc.
• Maria Alith Lucion, RPT
• Kim Danielle Lucker-Greene, BCBA-D
• Kaitlyn Luckock, MD

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.