Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lillys Medical Center LLC

Organization Primary Care Nurse Practitioner · NPI 1063007854

Lillys Medical Center LLC provides Primary Care Nurse Practitioner services in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4241 Baymeadows Rd Ste 6
Jacksonville, FL 32217-4673
Phone: (407) 719-5723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1063007854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Georgette Provost-Dukes — Arnp · (407) 719-5723
NPI enumeratedMarch 4, 2021
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address4241 Baymeadows Rd Ste 6, Jacksonville, FL 32217-4673

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