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

Coastal Skin Surgery and Dermatology, Pl

Organization Dermatology Physician · NPI 1114238193

Coastal Skin Surgery and Dermatology, Pl provides Dermatology Physician services in Miramar Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

12469 Emerald Coast Pkwy W Ste 101
Miramar Beach, FL 32550-8305 Not confirmed with CMS for 15 years — call before visiting
Phone: (850) 654-3376
Fax: (850) 654-3320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME92098 (FL)
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1114238193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Adams — Owner, President · (850) 654-3376
NPI enumeratedJune 24, 2010
Last updated in NPPESApril 21, 2011
Mailing address12469 Emerald Coast Pkwy W, Suite 101, Miramar Beach, FL 32550-8305

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