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Organization
PHYSICIANS GROUP SERVICES PA
Active
Organization
PHYSICIANS GROUP SERVICES PA
Active
Other names
COASTAL PODIATRY AND WOUND CARE, Coastal Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
1821 BLANDING BLVD STE 2, MIDDLEBURG, FL 32068-3839
(904) 282-6331
(904) 214-0059
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
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
05/30/2025
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