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 provides Chiropractor services 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 Not confirmed with CMS for 16 years — call before visiting
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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