Healthcare Provider Details

I. General information

NPI: 1154692531
Provider Name (Legal Business Name): MEDONE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 SW HWY 200 SUITE 119
OCALA FL
34476-8307
US

IV. Provider business mailing address

6160 SW HIGHWAY 200 STE 119
OCALA FL
34476-5603
US

V. Phone/Fax

Practice location:
  • Phone: 352-694-6331
  • Fax: 352-694-6338
Mailing address:
  • Phone: 352-694-6331
  • Fax: 352-694-6338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD J. LUCAS
Title or Position: PRINCIPAL
Credential: M.D.
Phone: 352-255-7777