Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucksley Jean, MD

Individual provider Family Medicine Physician · NPI 1518400118

Lucksley Jean, MD is a Family Practice in Jacksonville, Florida. Qualified in 2001, 25 years ago. Practices with Guidewell Sanitas I, LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone: (904) 862-2175
Fax: (904) 245-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME145656 (FL)

Record details

NPI number1518400118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2016
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Guidewell Sanitas I, Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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