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

NPI Status: Active since June 16, 2025

Contact Information

5011 GATE PARKWAY BLDG 100
SUITE 100 PMB 1064
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 925-1951

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About JACKSONVILLE CONCIERGE MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Jacksonville Concierge Medicine Llc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1891681037 assigned on June 2025. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Dr. Kyle Mikals Md (Owner)

NPI
1891681037
Provider Name
JACKSONVILLE CONCIERGE MEDICINE LLC
Entity Type
Organization
Location Address
5011 GATE PARKWAY BLDG 100 SUITE 100 PMB 1064 JACKSONVILLE, FL 32256
Location Phone
(904) 925-1951
Mailing Address
5011 GATE PARKWAY BLDG 100 SUITE 100 PMB 1064 JACKSONVILLE, FL 32256
Mailing Phone
(904) 925-1951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2025
Last Update Date
06-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KYLE MIKALS MD

Authorized Official Title
OWNER
Authorized Official Phone
(904) 925-1951

Reviews for JACKSONVILLE CONCIERGE MEDICINE LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891681037
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181128206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 2 + 8 + 2 + 0 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1891681037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073314712VIRTUAL HEALTH PLUS, LLC
Organization
Internal Medicine5011 GATE PARKWAY BLDG 100 SUITE 100 PMB 1063
JACKSONVILLE, FL 32256
(904) 584-4944
1730504879DR. KYLE MIKALS M.D.
Individual
Internal Medicine5011 GATE PARKWAY BLDG 100 SUITE 100 PMB 1063
JACKSONVILLE, FL 32256
(904) 584-4944

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891681037, enumerated in the NPI registry as an "organization" on June 16, 2025

The provider is located at 5011 Gate Parkway Bldg 100 Suite 100 Pmb 1064 Jacksonville, Fl 32256 and the phone number is (904) 925-1951

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on June 16, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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