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LUCET AT HOME OF FLORIDA PA
NPI 1265393847
Nurse Practitioner in Jacksonville, FL

Active since November 21, 2025CLIA 10D2336102 · Waiver
4800 DEERWOOD CAMPUS PKWY, BUILDING 400, SUITE DCC4-1-002, JACKSONVILLE, FL 32246(877) 887-1797 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lucet At Home Of Florida Pa NPPES

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

LUCET AT HOME OF FLORIDA PA (NPI 1265393847) is a healthcare organization registered as a nurse practitioner in Jacksonville, Florida and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Sean Martin, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1265393847
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLUCET AT HOME OF FLORIDA PA
Location Address4800 DEERWOOD CAMPUS PKWY, BUILDING 400, SUITE DCC4-1-002Jacksonville, FL 32246-8317
Mailing Address6100 Sprint Pkwy Ste 200Overland Park, KS 66211-1196
Phone(877) 887-1797
Organization SubpartNo
Authorized OfficialSean MartinPresident/ceo · (636) 409-8110
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1265393847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4800 DEERWOOD CAMPUS PKWY, Jacksonville, FL 32246
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2336102

Lucet At Home Of Florida PA · Jacksonville, FL
Active · expires Dec 22, 2027
CLIA Number10D2336102
Laboratory TypeHoue Calls Practice
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorSean Martin
Laboratory Phone(816) 237-2300
Laboratory LocationLucet At Home Of Florida PA4800 Deerwood Campus Parkway Building 400, Jacksonville, FL 32246
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

YODELSA M VALERIO
Nurse Practitioner (Family)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Duval County (786) 780-3259
BAPTIST PRIMARY CARE INC
Family Medicine
4800 DEERWOOD CAMPUS PKWY, BUILDING 300 FIRST FLOOR
JACKSONVILLE, FL 32246
Duval County (904) 905-5022
GUIDEWELL SANITAS I, LLC
Clinic/Center (Multi-Specialty)
4800 DEERWOOD CAMPUS PKWY, DEERWOOD CAMPUS COMPLEX BLDG 300, 1ST FLOOR
JACKSONVILLE, FL 32246
Duval County (844) 665-4827
DR. VICTORIA ELAINE BRYANT-RIGGINS PHARMD
Pharmacist (Pharmacotherapy)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Duval County (904) 905-0194
MRS. LISA MARIE SAVARESE
Social Worker
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Duval County (904) 905-6618
JACQUELINE HAGENBUCH APRN-C
Nurse Practitioner (Family)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Duval County (800) 793-7050
HEALTHSTAT, INC.
Clinic/Center
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Duval County (704) 529-6161
KRISTEN HAMILTON ARNP
Nurse Practitioner (Family)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Duval County (904) 534-4532

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 Lucet At Home Of Florida PA's NPI number?

The NPI number for Lucet At Home Of Florida PA is 1265393847. It was assigned to this organization in the NPPES registry on November 21, 2025.

Where is Lucet At Home Of Florida PA located?

Lucet At Home Of Florida PA is located at 4800 Deerwood Campus Pkwy Building 400, Suite Dcc4-1-002, Jacksonville, FL 32246. The listed phone number is (877) 887-1797.

What is Lucet At Home Of Florida PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Lucet At Home Of Florida PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2336102) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lucet At Home Of Florida PA was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.