Organization
COASTAL SKIN SURGERY AND DERMATOLOGY, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C ADAMS MD (OWNER, PRESIDENT)
(850) 654-3376
Entity
Organization
Contact information
Practice address
12469 EMERALD COAST PKWY W, SUITE 101, MIRAMAR BEACH, FL 32550-8305
(850) 654-3376
(850) 654-3320
Mailing address
12469 EMERALD COAST PKWY W, SUITE 101, MIRAMAR BEACH, FL 32550-8305
(850) 654-3376
(850) 654-3320
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME92098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00175
BCBSFL
FL
Enumeration date
06/24/2010
Last updated
04/21/2011
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