Coastal Plus Medical Center Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COASTAL PLUS MEDICAL CENTER INC

Practice address

11761 Beach Blvd
Suite 8
Jacksonville, FL 32246-6615

Phone

(904) 642-3304

Fax

(904) 642-8375

NPI assigned

Apr 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen Daniela Riza, ARNPNPI 1134505472

Title

Owner

Phone

(904) 642-3304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Daniela Riza, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1134505472
  Medicare reassignment Care Compare group NPD Authorized official
• Richard R Bloom, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1548298250
  Medicare reassignment Care Compare group NPD
• George Morrison Young Jr., MD

  • Adult Medicine Physician
  • Jacksonville, FL
  • NPI 1245265677
  Medicare reassignment Care Compare group NPD
• Meinrado L Pontejos, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1184209249
  NPD
• Jennifer Deason, MD

  • Family Medicine Physician
  • Hobe Sound, FL
  • NPI 1720016157
  NPD (past)
• Francis Xavier Decandis, MD

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1346358892
  NPD (past)
• Stephen F. Fierro, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1366496135
  NPD (past)
• Ulysses Findley, MD

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1073536223
  NPD (past)
• Jose A. Silva, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1225081359
  NPD (past)
• Laszlo S Stone, MD

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1770598757
  NPD (past)
• Alison Elaine Vukich, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1245282482
  NPD (past)
• Susan Yandle, MD, MPH, MBS

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1043465347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1407172018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11761 BEACH BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466699",
            "telephone_number": "904-642-3304",
            "fax_number": "844-689-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11761 BEACH BLVD",
            "address_2": "SUITE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466615",
            "telephone_number": "904-642-3304",
            "fax_number": "904-642-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PLUS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "RIZA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "DANIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-642-3304",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Health Institute, LLC
• Coastal Health Services, Inc.
• Coastal Injury Clinic LLC
• Coastal Mental Health Center Inc
• Coastal Mobile Medical Care LLC
• Coastal Surgery Center, LLC
• Coastal Transitional Care, LLC
• Coastal Vein & Vascular Institute, LLC
• Michael Germaine Coates
• Porsha Coates

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.