Cmsmg

LBN: Coast Multi-Specialty Medical Group P.A
Cmsmg is an health care organization with primary practice located at 480 Sw Main Blvd , Lake City FL 32025-5269. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Coast Multi-Specialty Medical Group P.A can be contacted via phone (386) 758-1965, or through Trott, J. Anthony via phone (386) 758-1965.

Contact Information

Primary practice address
480 Sw Main Blvd Lake City FL 32025-5269
Phone: (386) 758-1965
Fax: (386) 758-6923
Website:
Map and Directions
Authorized official contact:
Name: Trott, J. Anthony Doctor of Medicine (MD)
Phone: (386) 758-1965

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME80264 Florida

Profile Details

NPI number 1306971833
LBN Legal business name Coast Multi-Specialty Medical Group P.A
DBA Doing business as Cmsmg
Authorized official Trott, J. Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 23rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306971833 NPPES
Florida Other K2456 MEDICARE GROUP PTAN

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