Organization
PHYSICIANS GROUP SERVICES PA
Active
Other names
COASTAL PODIATRY AND WOUND CARE, Coastal Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
1821 BLANDING BLVD STE 2, MIDDLEBURG, FL 32068-3839
(904) 282-6331
(904) 214-0059
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
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259123500
—
FL
Enumeration date
02/09/2016
Last updated
05/30/2025
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