# PHYSICIANS GROUP SERVICES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699170035
- **Authorized official:** ANDREW T CHRISTMAN (CEO)
- **Authorized official phone:** (941) 685-7688

## Contact information

- **Practice address:** 1811 BLANDING BLVD STE 102, MIDDLEBURG, FL 32068-4935
- **Practice address phone:** (904) 661-2394
- **Practice address fax:** (904) 621-9105
- **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 |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | NULL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 05/30/2025