Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coastal Care Medical Center Inc

Organization Family Medicine Physician · NPI 1902970684

Coastal Care Medical Center Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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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