COASTAL CARE MEDICAL CENTER INC NPI 1902970684

NPI Information

COASTAL CARE MEDICAL CENTER INC is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COASTAL CARE MEDICAL CENTER INC NPI is 1902970684. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Coastal Care Medical Center.

The provider's business location address is:

11761 BEACH BLVD
SUITE 8
JACKSONVILLE, FL
ZIP 32246-615
Phone: (904) 642-3304
Fax: (904) 928-3561

The provider's authorized official is Clint D Miller .
The authorized official title is President and has the following contact phone number (904) 642-3304.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 1/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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