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Organization
PHYSICIANS GROUP SERVICES PA
Active
Organization
PHYSICIANS GROUP SERVICES PA
Active
Parent organization
PHYSICIANS GROUP SERVICES PA
Other names
Coastal Health, Family Medical Center Southside
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS GROUP SERVICES PA
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
1906 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216-1930
(904) 724-3083
(904) 727-9103
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
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123501
—
FL
Enumeration date
07/11/2008
Last updated
05/30/2025
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