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

Coastal Dermatology PA

Organization Dermatology Physician · NPI 1366431769

Coastal Dermatology PA is a Dermatology Physician in Jacksonville, Florida. Registered with an NPI since 2005.

In the registry since
2005
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

2804 Saint Johns Bluff Rd S Ste 109
Jacksonville, FL 32246-3776
Phone: (904) 727-9123
Fax: (904) 855-4255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1366431769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjiva Goyal — President · (904) 567-1050
Other names Goyal Dermatology Inc
NPI enumeratedOctober 18, 2005
Last updated in NPPESMay 8, 2015
Mailing addressPo Box 2878, Ponte Vedra Beach, FL 32004-2878

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