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

Intercoastal Chiropractic Clinic PA

Organization Chiropractor · NPI 1457538266

Intercoastal Chiropractic Clinic PA is a Chiropractor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14255 Beach Blvd Ste A
Jacksonville, FL 32250-1545
Phone: (904) 223-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH0007521 (FL)

Record details

NPI number1457538266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joyce Tucker — Billing Manager · (904) 272-3440
NPI enumeratedJanuary 23, 2008
Last updated in NPPESAugust 4, 2010
Mailing address14255 Beach Blvd Ste A, Jacksonville, FL 32250-1545

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