Coastal Care Medical Center Inc in Jacksonville - Family Medicine
Coastal Care Medical Center Inc - NPI 1902970684
Coastal Care Medical Center Inc is a Family Medicine in Jacksonville, Florida. Coastal Care Medical Center Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Coastal Care Medical Center Inc is 1902970684. The last update date is 2016-01-06.
Coastal Care Medical Center Inc's current location address is 11761 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9046423304 and fax number 9049283561. The mailing address for Coastal Care Medical Center Inc is 11761 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Coastal Care Medical Center Inc |
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Address | 11761 Beach Blvd, Jacksonville, Florida |
Phone Number | 9046423304 |
Fax Number | 9049283561 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Miller D Clint |
Credentials | DC |
Telephone Number | 9046423304 |
NPI Number Detail
NPI Number | 1902970684 |
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Provider Enumeration Date | 2006-11-17 |
Last Updated Date | 2016-01-06 |
Provider Mailing Address Detail
Address | 11761 Beach Blvd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322466615 |
Phone Number | 9046423304 |
Fax Number | 9049283561 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Coastal Care Medical Center Inc by the Centers for Medicare & Medicaid Services?
The Coastal Care Medical Center Inc has been issued the NPI (National Provider Identifier) 1902970684 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Coastal Care Medical Center Inc?
The Coastal Care Medical Center Inc is physically situated at 11761 Beach Blvd, in the city of Jacksonville, state of FL, with the postal code 322466615.
What is the area of specialization for Coastal Care Medical Center Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Coastal Care Medical Center Inc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Coastal Care Medical Center Inc receive its 1902970684 assignment from the Centers for Medicare & Medicaid Services?
The Coastal Care Medical Center Inc was assigned its 1902970684 by the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date were the Coastal Care Medical Center Inc's details last updated?
The information pertaining to the Coastal Care Medical Center Inc, including its address, specialty, and other details, was most recently updated on 2016-01-06.
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