Coastal Spine And Pain

LBN: Physicians Group Services Pa
Coastal Spine And Pain is an health care organization with primary practice located at 1361 13Th Ave S Unit 250-A , Jacksonville Beach FL 32250-3233. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Physicians Group Services Pa can be contacted via phone (904) 265-7755, or through Christman, Andrew T via phone (941) 685-7688.

Contact Information

Primary practice address
1361 13Th Ave S Unit 250-A Jacksonville Beach FL 32250-3233
Phone: (904) 265-7755
Fax: (904) 265-7754
Website:
Map and Directions
Authorized official contact:
Name: Christman, Andrew T
Phone: (941) 685-7688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1336511690
LBN Legal business name Physicians Group Services Pa
DBA Doing business as Coastal Spine And Pain
Authorized official Christman, Andrew T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2015
Last updated Apr 26th, 2024 - about last year

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 1336511690 NPPES
Florida MEDICAID 259123500

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