DermatologistIndex

Coast Multi-Specialty Medical Group P.A

Dermatology and skin surgery practice in Lake City, FL

Registered providerLicense # listed (FL)

Call (386) 758-1965Send a messageMap ↗

Public-record details

Address
480 Sw Main Blvd, Lake City, FL 32025
Phone
(386) 758-1965
Listed under
Practices and organizations, Mohs and procedural dermatology
NPI
1306971833
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Dermatology, Procedural Dermatology (207NS0135X)
License number on NPI record
ME80264 (FL)
Authorized official
J. Trott, MD, President
NPI first issued
Feb 23, 2007
Years since NPI first issued
19 years (since 2007)
License state on NPI record
FL
NPI record last updated
Dec 23, 2014

NPI 1306971833 is active in the federal NPPES registry (CMS) with Dermatology, Procedural Dermatology as its self-reported primary taxonomy; license ME80264 (FL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1306971833 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Dermatology or the American Osteopathic Board of Dermatology. Ask whether the practice takes your insurance or Medicare plan before you book.

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