# PHYSICIANS GROUP SERVICES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Spine and Pain Center, Coastal Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528371051
- **Authorized official:** ANDREW T CHRISTMAN (CEO)
- **Authorized official phone:** (941) 685-7688

## Contact information

- **Practice address:** 1564 KINGSLEY AVE STE 200, 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
- **Mailing address fax:** (904) 619-1080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 05/30/2025
