institution
Coast Multi-specialty Medical Group P.a
Procedural Dermatology Physician in Lake City, Florida
NPI 1306971833

Coast Multi-specialty Medical Group P.a is a Procedural Dermatology Physician based in Lake City, FL and is specialized in Procedural Dermatology. Coast Multi-specialty Medical Group P.a practices in Lake City, FL. The NPI Number for Coast Multi-specialty Medical Group P.a is 1306971833 and holds a License No. ME80264 (Florida).

The current practice location address for Coast Multi-specialty Medical Group P.a is 480 Sw Main Blvd, Lake City, FL and can be reached out via phone at 386-758-1965 and via fax at 386-758-6923.

Location: 480 Sw Main Blvd, Lake City, FL, 32056-1762
institution
Provider Profile Details
NPI Number
1306971833
Provider Name
Coast Multi-specialty Medical Group P.a
Credential
Provider Entity Type
Organization
Address
480 Sw Main Blvd, Lake City, FL, 32056-1762
Phone Number
386-758-1965
Fax Number
386-758-6923
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K2456 01 FL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
480 Sw Main Blvd
City
State
Zip
32025-5269
Phone Number
386-758-1965
Fax Number
386-758-6923
person
Provider Business Mailing Address Details
Address
480 Sw Main Blvd
City
State
Zip
32025-5269
Phone Number
386-758-1965
Fax Number
386-758-6923
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
License No.
ME80264 (Florida)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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