Coast Dermatology And Skin Cancer Center Pa in Venice - Specialist
Coast Dermatology And Skin Cancer Center Pa - NPI 1770608937
Coast Dermatology And Skin Cancer Center Pa is a Specialist in Venice, Florida. Coast Dermatology And Skin Cancer Center Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Coast Dermatology And Skin Cancer Center Pa is 1770608937. The last update date is 2009-05-22.
Coast Dermatology And Skin Cancer Center Pa's current location address is 21550 Angela Ln, Venice, Florida. You can contact this provider via phone number 9414937400 and fax number 9414931940. The mailing address for Coast Dermatology And Skin Cancer Center Pa is 21550 Angela Ln, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coast Dermatology And Skin Cancer Center Pa |
|---|---|
| Address | 21550 Angela Ln, Venice, Florida |
| Phone Number | 9414937400 |
| Fax Number | 9414931940 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSCIAN |
|---|---|
| Authorized Official Name | Neily Gregory John |
| Credentials | D.O. |
| Telephone Number | 9414937400 |
NPI Number Detail
| NPI Number | 1770608937 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2009-05-22 |
Provider Mailing Address Detail
| Address | 21550 Angela Ln |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342932017 |
| Phone Number | 9414937400 |
| Fax Number | 9414931940 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OS0006785 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99100 | FL | BLUE SHIELD GROUP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Coast Dermatology And Skin Cancer Center Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Coast Dermatology And Skin Cancer Center Pa has been assigned the NPI (National Provider Identifier) 1770608937. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Coast Dermatology And Skin Cancer Center Pa?
The Coast Dermatology And Skin Cancer Center Pa is situated at 21550 Angela Ln, in the city of Venice, state of FL, with the zip code 342932017.
What is the Coast Dermatology And Skin Cancer Center Pa's specialty and taxonomy code?
The Coast Dermatology And Skin Cancer Center Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770608937 to Coast Dermatology And Skin Cancer Center Pa?
The Centers for Medicare & Medicaid Services originally issued the 1770608937 to Coast Dermatology And Skin Cancer Center Pa on 2007-03-20.
When was the information related to Coast Dermatology And Skin Cancer Center Pa most recently updated or refreshed?
The details pertaining to the Coast Dermatology And Skin Cancer Center Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-05-22.
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