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CMSMG
NPI 1306971833
Dermatology - Procedural Dermatology in Lake City, FL

Active since February 23, 2007
480 SW MAIN BLVD, LAKE CITY, FL 32025(386) 758-1965(386) 758-6923 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cmsmg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CMSMG (NPI 1306971833) is a healthcare organization registered as a procedural dermatology in Lake City, Florida and active in the NPI registry since February 2007. The organization lists J. Anthony Trott, President, as its authorized official.

NPPES Registry Identity

NPI1306971833
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameCOAST MULTI-SPECIALTY MEDICAL GROUP P.A
Location Address480 SW MAIN BLVDLake City, FL 32025-5269
Mailing AddressPo Box 1762Lake City, FL 32056-1762 · (386) 758-1965 · Fax (386) 758-6923
Phone(386) 758-1965
Fax(386) 758-6923
Organization SubpartNo
Authorized OfficialJ. Anthony TrottPresident · (386) 758-1965
Enumeration DateFebruary 23, 2007
Last NPPES UpdateDecember 23, 2014
✔ NPI 1306971833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in FL · ME80264
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
480 SW MAIN BLVD, Lake City, FL 32025
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Other Names 1

Doing Business AsCmsmg

Other Identifiers 2

OtherK2456FL · Medicare Group Ptan
Medicare PIN51900ZFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON WAYNE WILLIAMS RN,MSN, TCRN, FNP-BC
Nurse Practitioner (Family)
480 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 348-5310
DR. J ANTHONY TROTT M.D.
Internal Medicine
480 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 758-1965

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coast Multi-Specialty Medical Group P.A's NPI number?

The NPI number for Coast Multi-Specialty Medical Group P.A is 1306971833. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Cmsmg.

Where is Coast Multi-Specialty Medical Group P.A located?

Coast Multi-Specialty Medical Group P.A is located at 480 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 758-1965.

What is Coast Multi-Specialty Medical Group P.A's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Coast Multi-Specialty Medical Group P.A was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.