Family Medical Center Southside
LBN: Physicians Group Services Pa
Family Medical Center Southside is an health care organization with primary practice located at 1906 Southside Blvd , Jacksonville FL 32216-1930. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Physicians Group Services Pa can be contacted via phone (904) 724-3083, or through Christman, Andrew T via phone (941) 685-7688.
Contact Information
Primary practice address
1906 Southside Blvd
Jacksonville FL 32216-1930
Phone: (904) 724-3083
Fax: (904) 727-9103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
| NPI number | 1679737308 |
|---|---|
| LBN Legal business name | Physicians Group Services Pa |
| DBA Doing business as | Family Medical Center Southside |
| Authorized official | Christman, Andrew T |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 11th, 2008 |
| Last updated | Apr 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679737308 | NPPES |
| Florida | MEDICAID | 259123501 |
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