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INTERCOASTAL CHIROPRACTIC CLINIC PA
NPI 1457538266
Chiropractor in Jacksonville, FL

Active since January 23, 2008
14255 BEACH BLVD STE A, JACKSONVILLE, FL 32250(904) 223-1616 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intercoastal Chiropractic Clinic Pa NPPES

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

INTERCOASTAL CHIROPRACTIC CLINIC PA (NPI 1457538266) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since January 2008. The organization lists Joyce Tucker, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1457538266
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINTERCOASTAL CHIROPRACTIC CLINIC PA
Location Address14255 BEACH BLVD STE AJacksonville, FL 32250-1545
Mailing Address14255 Beach Blvd Ste AJacksonville, FL 32250-1545 · (904) 223-1616
Phone(904) 223-1616
Organization SubpartNo
Authorized OfficialJoyce TuckerBilling Manager · (904) 272-3440
Enumeration DateJanuary 23, 2008
Last NPPES UpdateAugust 4, 2010
✔ NPI 1457538266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH0007521
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
14255 BEACH BLVD STE A, Jacksonville, FL 32250
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Other Identifiers 1

Medicare PIN55756ZFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Intercoastal Chiropractic Clinic PA's NPI number?

The NPI number for Intercoastal Chiropractic Clinic PA is 1457538266. It was assigned to this organization in the NPPES registry on January 23, 2008.

Where is Intercoastal Chiropractic Clinic PA located?

Intercoastal Chiropractic Clinic PA is located at 14255 Beach Blvd Ste A, Jacksonville, FL 32250. The listed phone number is (904) 223-1616.

What is Intercoastal Chiropractic Clinic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Intercoastal Chiropractic Clinic PA was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.