Organization · Type 2 NPI
Coast Multi-Specialty Medical Group P.a
Procedural Dermatology Physician · Lake City, FL
Practice location
480 SW Main Blvd
Lake City, FL 32025-5269
Fax (386) 758-6923
Mailing address
PO Box 1762
Lake City, FL 32056-1762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | ME80264 (FL) |
Procedural Dermatology Physician: 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 t…
2 other providers at this address
About NPI 1306971833
Coast Multi-Specialty Medical Group P.a's National Provider Identifier is 1306971833, issued on Feb 23, 2007. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Lake City, FL. The record was last updated on Dec 23, 2014.