MEDICARE: MY NURSE DOCTOR PRIMARY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1639824055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY NURSE DOCTOR PRIMARY CARE LLC

Provider Business Mailing Address
First Line	:	301 W BAY ST STE 14529
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-5184
Country	:	US
Telephone Number	:	904-571-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 W BAY ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-5184
Country	:	US
Telephone Number	:	904-571-0200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE SPEIGHTS-SELLERS
Credential	:	APRN
Telephone Number	:	904-571-0200

Provider Enumeration Date	:	02/14/2022
Last Update Date	:	02/14/2022

Similar Medicare Providers

1710092622 — DR. JANET I. LAWRENCE MD
Practice Location Address:

301 W BAY ST , EVERBANK CENTER, 6TH FLOOR
JACKSONVILLE, FL
32202-5184

Practice Phone: 904-224-7341
Practice Fax:

1720601008 — VIRTUALMD 360, P.A.
Practice Location Address:

301 W BAY ST STE 14141
JACKSONVILLE, FL
32202-5184

Practice Phone: 800-528-7045
Practice Fax:

1376116939 — IRECOVERY, LLC
Practice Location Address:

301 W BAY ST STE 14208
JACKSONVILLE, FL
32202-5184

Practice Phone: 904-664-1454
Practice Fax: 561-464-5501

1548112014 — SAMANTHA LAINE SIMON
Practice Location Address:

532 RIVERSIDE AVE STE 103
JACKSONVILLE, FL
32202-4914

Practice Phone: 904-353-5696
Practice Fax:

1992170369 — LEON ANTOINE LPN, RN
Practice Location Address:

605 W BEAVER ST
JACKSONVILLE, FL
32202-4703

Practice Phone: 347-907-0835
Practice Fax:

1831193861 — DR. LOUIS JOHN LARMOYEUX JR. DO
Practice Location Address:

124 E ASHLEY ST
JACKSONVILLE, FL
32202-3118

Practice Phone: 904-353-5696
Practice Fax: 904-353-2844

Directions to “MY NURSE DOCTOR PRIMARY CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.