# PHYSICIANS GROUP SERVICES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COASTAL SPINE AND PAIN CENTER, Coastal Anesthesia, Coastal Health, Coastal Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164801767
- **Authorized official:** ANDREW T CHRISTMAN (CEO)
- **Authorized official phone:** (941) 685-7688

## Contact information

- **Practice address:** 1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4521
- **Practice address phone:** (904) 264-8801
- **Practice address fax:** (904) 621-0566
- **Mailing address:** 705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
- **Mailing address phone:** (904) 282-6331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 05/28/2015
- **Last updated:** 05/30/2025