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JACKSONVILLE CONCIERGE MEDICINE LLC
NPI 1891681037
Clinic/Center - Multi-Specialty in Jacksonville, FL

Active since June 16, 2025CLIA 10D2328223 · Waiver
7643 GATE PKWY STE 104-909, JACKSONVILLE, FL 32256(904) 925-8540 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacksonville Concierge Medicine Llc NPPES

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

JACKSONVILLE CONCIERGE MEDICINE LLC (NPI 1891681037) is a healthcare organization registered as a multi-specialty in Jacksonville, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 5, 2027, maintains a secondary practice location in Jacksonville, and lists Kyle Mikals, Owner, as its authorized official.

NPPES Registry Identity

NPI1891681037
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJACKSONVILLE CONCIERGE MEDICINE LLC
Location Address7643 GATE PKWY STE 104-909Jacksonville, FL 32256-3092
Mailing Address7643 Gate Pkwy Ste 104-909Jacksonville, FL 32256-3092 · (904) 925-1951
Phone(904) 925-8540
Organization SubpartNo
Authorized OfficialKyle MikalsOwner · (904) 925-1951
Enumeration DateJune 16, 2025
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1891681037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
7643 GATE PKWY STE 104-909, Jacksonville, FL 32256
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Secondary Practice Location 1

Location 15011 Gate Parkway Bldg 100, SUite 100 PMB 1064Jacksonville, FL 32256-7229 · Phone (904) 925-1951

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 10D2328223

Jacksonville Concierge Medicine LLC · Jacksonville, FL
Active · expires Aug 5, 2027
CLIA Number10D2328223
Laboratory TypePractitioner Other
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorKyle A. Mikals
Laboratory Phone(904) 925-8540
Laboratory LocationJacksonville Concierge Medicine LLC5011 Gate Parkway Bldg 100, Suite 100 Pmb 1064, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. KYLE MIKALS M.D.
Internal Medicine
7643 GATE PKWY STE 104-909
JACKSONVILLE, FL 32256
Duval County (904) 925-8540

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 Jacksonville Concierge Medicine LLC's NPI number?

The NPI number for Jacksonville Concierge Medicine LLC is 1891681037. It was assigned to this organization in the NPPES registry on June 16, 2025.

Where is Jacksonville Concierge Medicine LLC located?

Jacksonville Concierge Medicine LLC is located at 7643 Gate Pkwy Ste 104-909, Jacksonville, FL 32256. The listed phone number is (904) 925-8540.

What is Jacksonville Concierge Medicine LLC's specialty?

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

Does Jacksonville Concierge Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328223) is associated with this NPI, valid through August 5, 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 Jacksonville Concierge Medicine LLC was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.