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
1865 LIME ST, SUITE 101, FERNANDINA BEACH, FL 32034-4744
(904) 321-2422
(904) 321-2434
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
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123500
—
FL
Enumeration date
07/27/2010
Last updated
05/30/2025
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