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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
463386 STATE ROAD 200 UNIT A, YULEE, FL 32097-3240
(904) 282-6331
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
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123550
—
FL
Enumeration date
09/02/2021
Last updated
05/30/2025
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