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

Coastal Skin Surgery and Dermatology, Pl

Organization Dermatology Physician · NPI 1114238193

Coastal Skin Surgery and Dermatology, Pl is a Dermatology Physician in Miramar Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

12469 Emerald Coast Pkwy W Ste 101
Miramar Beach, FL 32550-8305
Phone: (850) 654-3376
Fax: (850) 654-3320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME92098 (FL)
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1114238193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Adams — Owner, President · (850) 654-3376
NPI enumeratedJune 24, 2010
Last updated in NPPESApril 21, 2011
Mailing address12469 Emerald Coast Pkwy W, Suite 101, Miramar Beach, FL 32550-8305

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