Organization
PHYSICIANS GROUP SERVICES PA
Active
Other names
COASTAL SPINE AND PAIN CENTER, Coastal Anesthesia, Coastal Health, Coastal Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4521
(904) 264-8801
(904) 621-0566
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123500
—
FL
05
—
259123531
—
FL
05
—
259123536
—
FL
Enumeration date
05/28/2015
Last updated
05/30/2025
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