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COASTAL PLUS MEDICAL CENTER INC
NPI 1407172018
Clinic/Center - Primary Care in Jacksonville, FL

Active since April 08, 2010CLIA 10D2118273 · Waiver
11761 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246(904) 642-3304(904) 642-8375 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Aug 7, 2025, Dec 17, 2024 and 2 more (5 updates tracked since 2016).

About Coastal Plus Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL PLUS MEDICAL CENTER INC (NPI 1407172018) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Carmen Daniela Riza, Owner, as its authorized official.

NPPES Registry Identity

NPI1407172018
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL PLUS MEDICAL CENTER INC
Location Address11761 BEACH BLVD, SUITE 8Jacksonville, FL 32246-6615
Mailing Address11761 Beach Blvd Ste 8Jacksonville, FL 32246-6699 · (904) 642-3304 · Fax (844) 689-2234
Phone(904) 642-3304
Fax(904) 642-8375
Organization SubpartNo
Authorized OfficialCarmen Daniela RizaOwner · (904) 642-3304
Enumeration DateApril 8, 2010
Last NPPES UpdateApril 22, 20265 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1407172018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11761 BEACH BLVD, Jacksonville, FL 32246
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2118273

Coastal Plus Medical Center · Jacksonville, FL
Active · expires Sep 5, 2026
CLIA Number10D2118273
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorCarmen D. Riza
Laboratory Phone(904) 642-3304
Laboratory LocationCoastal Plus Medical Center11761-8 Beach Blvd, Jacksonville, FL 32246
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAUREL ELIZABETH HERRON PA-C
Physician Assistant
11761 BEACH BLVD, UFJAX - ST. JOHNS BLUFF PRIMARY CARE
JACKSONVILLE, FL 32246
Duval County (904) 633-0585
CARMEN DANIELA RIZA ARNP
Nurse Practitioner (Adult Health)
11761 BEACH BLVD, STE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304
DR. CLINT D. MILLER D.C.
Chiropractor (Sports Physician)
11761 BEACH BLVD, SUITE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304
COASTAL CARE MEDICAL CENTER INC
Family Medicine
11761 BEACH BLVD, SUITE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Plus Medical Center Inc's NPI number?

The NPI number for Coastal Plus Medical Center Inc is 1407172018. It was assigned to this organization in the NPPES registry on April 8, 2010.

Where is Coastal Plus Medical Center Inc located?

Coastal Plus Medical Center Inc is located at 11761 Beach Blvd Suite 8, Jacksonville, FL 32246. The listed phone number is (904) 642-3304.

What is Coastal Plus Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coastal Plus Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2118273) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Plus Medical Center Inc accept?

Health plans from AvMed list Coastal Plus Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Plus Medical Center Inc was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.