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

Coastal Cosmetic Center, PA

Organization Plastic Surgery Physician · NPI 1548296189

Coastal Cosmetic Center, PA provides Plastic Surgery Physician services in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

4147 Southpoint Dr E
Jacksonville, FL 32216-0996
Phone: (904) 332-6774
Fax: (904) 332-9137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1548296189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Harms — Administrator · (904) 332-6774
NPI enumeratedJune 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4147 Southpoint Dr E, Jacksonville, FL 32216-0996

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