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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COAST MULTI-SPECIALTY MEDICAL GROUP P.A

Active Organization

COAST MULTI-SPECIALTY MEDICAL GROUP P.A is a Procedural Dermatology organization located in LAKE CITY, Florida. NPI 1306971833 is currently active in the NPPES registry. Verify at CMS.

Procedural Dermatology · LAKE CITY, FL

Registration Details

NPI Number
1306971833
Provider Type
Organization
NPI Issued
Feb 23, 2007 (19.499865349295 yrs)
Last Updated
Dec 23, 2014
License
ME80264 (FL)

Practice Information

Address
480 SW MAIN BLVD
LAKE CITY, FL, 320255269
Browse FL providers · Browse ZIP 32025
Phone
3867581965
Fax
3867586923
Primary Specialty
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.