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

Intercoastal Health

Organization Health Service Clinic/Center · NPI 1518775873

Intercoastal Health is a Health Service Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3874 San Jose Park Dr Ste 5
Jacksonville, FL 32217-4660
Phone: (904) 799-2531
Fax: (904) 659-8558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1518775873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter McDermott — Manager · (904) 799-2531
NPI enumeratedDecember 19, 2024
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address3874 San Jose Park Dr Ste 5, Jacksonville, FL 32217-4660

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