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Coastal Dermatology PA

Dermatology Physician in Jacksonville, FL · enumerated 2005 · authorized official Sanjiva Goyal, President.

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

National Provider Identifier

1366431769

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Dermatology PA
Other name <Unavail>
Practice address 2804 Saint Johns Bluff Rd S, Ste 109, Jacksonville, FL, 32246
Phone (904) 727-9123
Fax (904) 855-4255
Enumeration date Oct 18, 2005
Last updated in NPPES May 8, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Sanjiva Goyal
Title President
Phone (904) 567-1050

Other identifiers

Identifier Type State Issuer
35493Z Other FL MEDICARE PROVIDER ID
K3994 Other FL MEDICARE 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

What type of organization is Coastal Dermatology PA?
Coastal Dermatology PA is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-08.