PREMISE HEALTH OF FLORIDA MEDICAL PA
NPI 1346957610
Clinic/Center - Multi-Specialty in Jacksonville, FL

Active since November 04, 2022CLIA 10D0957601 · Waiver
14000 CITICARDS WAY BLDG A1, JACKSONVILLE, FL 32258(904) 354-8262 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Nov 4, 2022 (2 updates tracked since 2022).

About Premise Health Of Florida Medical Pa NPPES

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

PREMISE HEALTH OF FLORIDA MEDICAL PA (NPI 1346957610), doing business as Live Well At Citi - Jacksonville, is a healthcare organization registered as a multi-specialty in Jacksonville, Florida and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1346957610
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL PA
Location Address14000 CITICARDS WAY BLDG A1Jacksonville, FL 32258-6456
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateNovember 4, 2022
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1346957610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
14000 CITICARDS WAY BLDG A1, Jacksonville, FL 32258

Other Names 1

Doing Business AsLive Well At Citi - Jacksonville

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 10D0957601

Premise Health Of Florida Medical, PA · Jacksonville, FL
Active · expires Feb 23, 2027
CLIA Number10D0957601
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorJessica Crespo
Laboratory Phone(904) 354-8262
Laboratory LocationPremise Health Of Florida Medical, PA14000 Citicards Way Bldg A 1st Floor, Jacksonville, FL 32258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of Florida Medical PA's NPI number?

The NPI number for Premise Health Of Florida Medical PA is 1346957610. It was assigned to this organization in the NPPES registry on November 4, 2022. The provider is doing business as Live Well at Citi - Jacksonville.

Where is Premise Health Of Florida Medical PA located?

Premise Health Of Florida Medical PA is located at 14000 Citicards Way Bldg A1, Jacksonville, FL 32258. The listed phone number is (904) 354-8262.

What is Premise Health Of Florida Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Florida Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0957601) is associated with this NPI, valid through February 23, 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 Premise Health Of Florida Medical PA was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.