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INTERCOASTAL HEALTH
NPI 1518775873
Clinic/Center - Health Service in Jacksonville, FL

Active since December 19, 2024
3874 SAN JOSE PARK DR STE 5, JACKSONVILLE, FL 32217(904) 799-2531(904) 659-8558 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2026, Dec 19, 2024 (2 updates tracked since 2024).

About Intercoastal Health NPPES

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

INTERCOASTAL HEALTH (NPI 1518775873) is a healthcare organization registered as a health service in Jacksonville, Florida and active in the NPI registry since December 2024. The organization lists Peter Christopher Mcdermott, Manager, as its authorized official.

NPPES Registry Identity

NPI1518775873
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameINTERCOASTAL HEALTH
Location Address3874 SAN JOSE PARK DR STE 5Jacksonville, FL 32217-4660
Mailing Address3874 San Jose Park Dr Ste 5Jacksonville, FL 32217-4660 · (904) 799-2531 · Fax (904) 659-8558
Phone(904) 799-2531
Fax(904) 659-8558
Organization SubpartNo
Authorized OfficialPeter Christopher McdermottManager · (904) 799-2531
Enumeration DateDecember 19, 2024
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1518775873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3874 SAN JOSE PARK DR STE 5, Jacksonville, FL 32217
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Other Providers at the Same Location NPPES

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

MR. PETER CHRISTOPHER MCDERMOTT ARNP
Nurse Practitioner
3874 SAN JOSE PARK DR STE 5
JACKSONVILLE, FL 32217
Duval County (904) 799-2531

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 Health's NPI number?

The NPI number for Intercoastal Health is 1518775873. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Intercoastal Health located?

Intercoastal Health is located at 3874 San Jose Park Dr Ste 5, Jacksonville, FL 32217. The listed phone number is (904) 799-2531.

What is Intercoastal Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Intercoastal Health was last updated on May 13, 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.