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 Ste 200 , Orange Park FL 32073-4521. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. 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 Ste 200 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 / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1528371051
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 Jul 26th, 2010
Last updated Apr 26th, 2024 - about 7 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 1528371051 NPPES
Florida MEDICAID 259123500

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