Organization
COASTAL CARE MEDICAL CENTER INC
Active
Other names
Coastal Care Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT D MILLER DC (PRESIDENT)
(904) 642-3304
Entity
Organization
Contact information
Practice address
11761 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246-6615
(904) 642-3304
(904) 928-3561
Mailing address
11761 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246-6615
(904) 642-3304
(904) 928-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
01/06/2016
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