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Organization
PHYSICIANS GROUP SERVICES PA
Active
Organization
PHYSICIANS GROUP SERVICES PA
Active
Other names
Coastal Health, Coastal Spine and Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
1865 LIME ST, SUITE 101, FERNANDINA BEACH, FL 32034-4744
(904) 321-2422
(904) 321-2434
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123500
—
FL
Enumeration date
07/27/2010
Last updated
05/30/2025
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