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
463386 STATE ROAD 200 UNIT A, YULEE, FL 32097-3240
(904) 282-6331
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
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123550
—
FL
Enumeration date
09/02/2021
Last updated
05/30/2025
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