Organization
INTERCOASTAL HEALTH
Active
Organization
INTERCOASTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHRISTOPHER MCDERMOTT APRN (MANAGER)
(904) 799-2531
Entity
Organization
Contact information
Practice address
3874 SAN JOSE PARK DR STE 5, JACKSONVILLE, FL 32217-4660
(904) 799-2531
(904) 659-8558
Mailing address
3874 SAN JOSE PARK DR STE 5, JACKSONVILLE, FL 32217-4660
(904) 799-2531
(904) 659-8558
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
05/13/2026
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