Organization
PHYSICIANS GROUP SERVICES PA
Active
Other names
Kidney Clinics of Jacksonville, Coastal Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T CHRISTMAN (CEO)
(904) 282-6331
Entity
Organization
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2397, JACKSONVILLE, FL 32258-7418
(904) 296-0670
(904) 296-0698
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
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123500
—
FL
Enumeration date
12/01/2011
Last updated
05/30/2025
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