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COAST DERMATOLOGY AND SKIN CANCER CENTER PA
NPI 1770608937
Specialist in Venice, FL

Active since March 20, 2007CLIA 10D1002529 · Certificate of Compliance
21550 ANGELA LN, VENICE, FL 34293(941) 493-7400(941) 493-1940 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coast Dermatology And Skin Cancer Center Pa NPPES

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

COAST DERMATOLOGY AND SKIN CANCER CENTER PA (NPI 1770608937) is a healthcare organization registered as a specialist in Venice, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 28, 2026 and lists John Gregory Neily, Physcian, as its authorized official.

NPPES Registry Identity

NPI1770608937
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOAST DERMATOLOGY AND SKIN CANCER CENTER PA
Location Address21550 ANGELA LNVenice, FL 34293-2017
Mailing Address21550 Angela LnVenice, FL 34293-2017 · (941) 493-7400 · Fax (941) 493-1940
Phone(941) 493-7400
Fax(941) 493-1940
Organization SubpartNo
Authorized OfficialJohn Gregory NeilyPhyscian · (941) 493-7400
Enumeration DateMarch 20, 2007
Last NPPES UpdateMay 22, 2009
✔ NPI 1770608937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · OS0006785
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
21550 ANGELA LN, Venice, FL 34293
Open in Google Maps ↗

Other Identifiers 3

Other99100FL · Blue Shield Group Number
Medicare UPINE82043FL
Medicare PINK3656FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1002529

Aqua Dermatology Of Florida PA Dba Coast Dermatology · Venice, FL
Active · expires Aug 28, 2026
CLIA Number10D1002529
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDr. John G. Neily
Laboratory Phone(561) 694-9493
Laboratory LocationAqua Dermatology Of Florida PA Dba Coast Dermatology21550 Angela Lane, Venice, FL 34293
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

RYAN BEADLE P.A.
Physician Assistant
21550 ANGELA LN
VENICE, FL 34293
Sarasota County (941) 493-7400
GABRIEL M. YOUSSEF M.D.
Family Medicine
21550 ANGELA LN
VENICE, FL 34293
Sarasota County (941) 493-7400
HEATHER VIRGINIA FREEMAN
Physician Assistant
21550 ANGELA LN
VENICE, FL 34293
Sarasota County (941) 493-7400
JOHN GREGORY NEILY DO
Specialist
21550 ANGELA LN
VENICE, FL 34293
Sarasota County (941) 493-7400
AMY MARIE MURPHY PA-C,MMS
Physician Assistant (Medical)
21550 ANGELA LN
VENICE, FL 34293
Sarasota County (941) 493-7400

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 Dermatology And Skin Cancer Center PA's NPI number?

The NPI number for Coast Dermatology And Skin Cancer Center PA is 1770608937. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Coast Dermatology And Skin Cancer Center PA located?

Coast Dermatology And Skin Cancer Center PA is located at 21550 Angela Ln, Venice, FL 34293. The listed phone number is (941) 493-7400.

What is Coast Dermatology And Skin Cancer Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Coast Dermatology And Skin Cancer Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1002529) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coast Dermatology And Skin Cancer Center PA was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.