OrganizationActive
Coastal Plus Medical Center Inc
NPI 1407172018 · Primary Care Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1407172018
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carmen Riza, Owner(904) 642-3304
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11761 Beach Blvd
Suite 8
Jacksonville, FL 32246-6615
Phone: (904) 642-3304
Fax: (904) 642-8375
Street-level locationGet directions
Mailing address
11761 Beach Blvd Ste 8
Jacksonville, FL 32246-6699
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.