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LILLYS MEDICAL CENTER LLC
NPI 1063007854
Nurse Practitioner - Primary Care in Jacksonville, FL

Active since March 04, 2021
4241 BAYMEADOWS RD STE 6, JACKSONVILLE, FL 32217(407) 719-5723 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2021, Mar 4, 2021 (2 updates tracked since 2021).

About Lillys Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLYS MEDICAL CENTER LLC (NPI 1063007854) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since March 2021. The organization lists Georgette L Provost-dukes, Arnp, as its authorized official.

NPPES Registry Identity

NPI1063007854
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLILLYS MEDICAL CENTER LLC
Location Address4241 BAYMEADOWS RD STE 6Jacksonville, FL 32217-4673
Mailing Address4241 Baymeadows Rd Ste 6Jacksonville, FL 32217-4673 · (407) 719-5723
Phone(407) 719-5723
Organization SubpartNo
Authorized OfficialGeorgette L Provost-dukesArnp · (407) 719-5723
Enumeration DateMarch 4, 2021
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1063007854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
4241 BAYMEADOWS RD STE 6, Jacksonville, FL 32217
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGETTE LOUISE PROVOST-DUKES NURSE PRACTITIONER
Nurse Practitioner (Family)
4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL 32217
Duval County (407) 719-5723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillys Medical Center LLC's NPI number?

The NPI number for Lillys Medical Center LLC is 1063007854. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Lillys Medical Center LLC located?

Lillys Medical Center LLC is located at 4241 Baymeadows Rd Ste 6, Jacksonville, FL 32217. The listed phone number is (407) 719-5723.

What is Lillys Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Lillys Medical Center LLC was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.