Goyal Dermatology Inc

LBN: Coastal Dermatology Pa
Goyal Dermatology Inc is an health care organization with primary practice located at 2804 Saint Johns Bluff Rd S Ste 109, Jacksonville FL 32246-3776. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Coastal Dermatology Pa can be contacted via phone (904) 727-9123, or through Goyal, Sanjiva via phone (904) 567-1050.

Contact Information

Primary practice address
2804 Saint Johns Bluff Rd S Ste 109 Jacksonville FL 32246-3776
Phone: (904) 727-9123
Fax: (904) 855-4255
Website:
Map and Directions
Authorized official contact:
Name: Goyal, Sanjiva Doctor of Medicine (MD)
Phone: (904) 567-1050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1366431769
LBN Legal business name Coastal Dermatology Pa
DBA Doing business as Goyal Dermatology Inc
Authorized official Goyal, Sanjiva Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated May 8th, 2015 - about 11 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 1366431769 NPPES
Florida Other 35493Z MEDICARE PROVIDER ID
Florida Other K3994 MEDICARE PROVIDER ID

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