Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coast Dermatology and Skin Cancer Center PA

Organization Specialist · NPI 1770608937

Coast Dermatology and Skin Cancer Center PA provides Specialist services in Venice, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21550 Angela Ln
Venice, FL 34293-2017 Not confirmed with CMS for 17 years — call before visiting
Phone: (941) 493-7400
Fax: (941) 493-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OS0006785 (FL)

Record details

NPI number1770608937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Neily — Physcian · (941) 493-7400
NPI enumeratedMarch 20, 2007
Last updated in NPPESMay 22, 2009
Mailing address21550 Angela Ln, Venice, FL 34293-2017

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