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DREAM PRIMARY CARE LLC
NPI 1659168516
Family Medicine in Jacksonville, FL

Active since April 23, 2025CLIA 10D2348563 · Waiver
2255 DUNN AVE STE 503, JACKSONVILLE, FL 32218(904) 521-7564 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dream Primary Care Llc NPPES

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

DREAM PRIMARY CARE LLC (NPI 1659168516), doing business as Dream Primary Care, is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 6, 2028 and lists Tatianna Miles, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1659168516
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDREAM PRIMARY CARE LLC
Location Address2255 DUNN AVE STE 503Jacksonville, FL 32218-4742
Mailing Address2255 Dunn Ave Ste 503Jacksonville, FL 32218-4742 · (904) 521-7564
Phone(904) 521-7564
Organization SubpartNo
Authorized OfficialTatianna MilesCredentialing Specialist · (904) 868-8923
Enumeration DateApril 23, 2025
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1659168516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2255 DUNN AVE STE 503, Jacksonville, FL 32218
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Other Names 1

Doing Business AsDream Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2348563

Dream Primary Care LLC · Jacksonville, FL
Active · expires Aug 6, 2028
CLIA Number10D2348563
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorCarneisha L. Myles
Laboratory Phone(904) 521-7564
Laboratory LocationDream Primary Care LLC2255 Dunn Avenue Ste 503, Jacksonville, FL 32218
CLIA data matches this NPI record on: Address 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 Dream Primary Care LLC's NPI number?

The NPI number for Dream Primary Care LLC is 1659168516. It was assigned to this organization in the NPPES registry on April 23, 2025. The provider is doing business as Dream Primary Care.

Where is Dream Primary Care LLC located?

Dream Primary Care LLC is located at 2255 Dunn Ave Ste 503, Jacksonville, FL 32218. The listed phone number is (904) 521-7564.

What is Dream Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dream Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2348563) is associated with this NPI, valid through August 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dream Primary Care LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.