Coastal Dermatology PA
NPI 1366431769ActiveOrganization· Dermatology· Jacksonville, FL
Dermatology in Jacksonville, Florida, registered in NPPES in October 2005. The authorized official on file is Sanjiva Goyal, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366431769 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2005 |
| Last updated in NPPES | May 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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