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Coast Multi-Specialty Medical Group P.A

Procedural Dermatology Physician in Lake City, FL · enumerated 2007 · authorized official J. Trott, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306971833

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Registry record

Entity type Organization (Type 2)
Legal business name Coast Multi-Specialty Medical Group P.A
Other name <Unavail>
Practice address 480 Sw Main Blvd, Lake City, FL, 32025
Phone (386) 758-1965
Fax (386) 758-6923
Enumeration date Feb 23, 2007
Last updated in NPPES Dec 23, 2014

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License ME80264 (FL) Primary

Authorized official

Name J. Trott
Title President
Phone (386) 758-1965

Other identifiers

Identifier Type State Issuer
K2456 Other FL MEDICARE GROUP PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-23. Verify at npiregistry.cms.hhs.gov.
Where is Coast Multi-Specialty Medical Group P.A located?
The practice location on file with NPPES is in Lake City, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-23.