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

Coastal Care Medical Center Inc

Organization Family Medicine Physician · NPI 1902970684

Coastal Care Medical Center Inc is a Family Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11761 Beach Blvd Ste 8
Jacksonville, FL 32246-6615
Phone: (904) 642-3304
Fax: (904) 928-3561
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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

Record details

NPI number1902970684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Miller — President · (904) 642-3304
Other names Coastal Care Medical Center
NPI enumeratedNovember 17, 2006
Last updated in NPPESJanuary 6, 2016
Mailing address11761 Beach Blvd, Suite 8, Jacksonville, FL 32246-6615

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