# PHYSICIANS GROUP SERVICES PA

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

## Provider details

- **NPI number:** 1932682986
- **Authorized official:** ANDREW T CHRISTMAN (CEO)
- **Authorized official phone:** (941) 685-7688

## Contact information

- **Practice address:** 421 KINGSLEY AVE STE 400, ORANGE PARK, FL 32073-4898
- **Practice address phone:** (904) 265-0470
- **Practice address fax:** (904) 223-3949
- **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 | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 05/30/2025