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

COASTAL DERMATOLOGY PA

Active Organization

COASTAL DERMATOLOGY PA is a Dermatology organization located in JACKSONVILLE, Florida. NPI 1366431769 is currently active in the NPPES registry. Verify at CMS.

Dermatology · JACKSONVILLE, FL

Registration Details

NPI Number
1366431769
Provider Type
Organization
NPI Issued
Oct 18, 2005 (20.639006748878 yrs)
Last Updated
May 8, 2015

Practice Information

Address
2804 SAINT JOHNS BLUFF RD S
STE 109
JACKSONVILLE, FL, 322463776
Browse FL providers · Browse ZIP 32246
Phone
9047279123
Fax
9048554255
Primary Specialty
Dermatology
207N00000X
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.