Coastal Spine And Pain Center

LBN: Physicians Group Services Pa
Coastal Spine And Pain Center is an health care organization with primary practice located at 1564 Kingsley Ave , Orange Park FL 32073-4521. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Physicians Group Services Pa can be contacted via phone (904) 264-8801, or through Christman, Andrew T via phone (941) 685-7688.

Contact Information

Primary practice address
1564 Kingsley Ave Orange Park FL 32073-4521
Phone: (904) 264-8801
Fax: (904) 621-0566
Website:
Map and Directions
Authorized official contact:
Name: Christman, Andrew T
Phone: (941) 685-7688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1164801767
LBN Legal business name Physicians Group Services Pa
DBA Doing business as Coastal Spine And Pain Center
Authorized official Christman, Andrew T
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2015
Last updated Apr 25th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164801767 NPPES
Florida MEDICAID 259123500
Florida MEDICAID 259123531
Florida MEDICAID 259123536

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