Individual provider Active NPI

Kelly J. Lemaire, MD

  • Family Medicine Physician
  • Middleburg, FL
National Provider Identifier
1730738790
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN1467 Issued in FL
Practice address
430 College Dr Ste 115
Middleburg, FL 32068-8531
Phone
(904) 257-1055
Fax
(904) 257-1099
NPI assigned
Sep 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN1467 FL Primary
General Practice Physician 208D00000X 22769 PR

Addresses

Primary practice location

430 College Dr Ste 115
Middleburg, FL 32068-8531

Mailing address

4300 Randolph Way Apt 235
Palm Beach Gardens, FL 33410-6760
Phone (917) 514-8823

Other practice location 1

U 202 Ave Las Palmas
manati, PR 00674
Phone (917) 514-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001033 FL Practitioner - General Practice 9739563321 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22769PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehab Specialists, PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Alliance Family Physicians, PA CurrentSince Sep 1, 2025 Accepting new patients
Islf-Deerwood Place-Jacksonville LLC Past Accepting new patients

Locations (25 of 94)

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601

22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

817 NW 56th Ter
Ste C
Gainesville, FL 32605

4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558

124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100

23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466

701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150

2802 Parental Home Rd
Jacksonville, FL 32216
Phone (904) 721-0088

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1730738790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 RANDOLPH WAY APT 235",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106760",
            "telephone_number": "917-514-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COLLEGE DR STE 115",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688531",
            "telephone_number": "904-257-1055",
            "fax_number": "904-257-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "U 202 Ave Las Palmas",
            "address_purpose": "LOCATION",
            "city": "manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "917-514-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMAIRE",
        "first_name": "KELLY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1467",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.