Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Cosmetic Center, PA

Organization Plastic Surgery Physician · NPI 1548296189

Coastal Cosmetic Center, PA is a Plastic Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4147 Southpoint Dr E
Jacksonville, FL 32216-0996
Phone: (904) 332-6774
Fax: (904) 332-9137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1548296189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Harms — Administrator · (904) 332-6774
NPI enumeratedJune 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4147 Southpoint Dr E, Jacksonville, FL 32216-0996

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