Organization
PHYSICIANS GROUP SERVICES PA
Active
Parent organization
PHYSICIANS GROUP SERVICES PA
Other names
Coastal Health, Family Medical Center Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS GROUP SERVICES PA
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
1555 KINGSLEY AVE, SUITE 601, ORANGE PARK, FL 32073-4560
(904) 264-0264
(904) 278-0437
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
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123505
—
FL
Enumeration date
07/11/2008
Last updated
05/30/2025
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