Coast Multi-Specialty Medical Group PA
Coast Multi-Specialty Medical Group PA is a Procedural Dermatology Physician in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
480 SW Main BlvdLake City, FL 32025-5269
Phone: (386) 758-1965
Fax: (386) 758-6923
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X · Licence ME80264 (FL) |
|---|
Record details
| NPI number | 1306971833 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | J. Trott — President · (386) 758-1965 |
| Other names | Cmsmg |
| NPI enumerated | February 23, 2007 |
| Last updated in NPPES | December 23, 2014 |
| Mailing address | Po Box 1762, Lake City, FL 32056-1762 |