Coastal Spine And Pain Center Laboratory
LBN: Physicians Group Services Pa
Coastal Spine And Pain Center Laboratory is an health care organization with primary practice located at 421 Kingsley Ave , Orange Park FL 32073-4897. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Physicians Group Services Pa can be contacted via phone (904) 751-4906, or through Christman, Andrew T via phone (941) 685-7688.
Contact Information
Primary practice address
421 Kingsley Ave
Orange Park FL 32073-4897
Phone: (904) 751-4906
Fax: (904) 214-0059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X |
Profile Details
| NPI number | 1831530658 |
|---|---|
| LBN Legal business name | Physicians Group Services Pa |
| DBA Doing business as | Coastal Spine And Pain Center Laboratory |
| Authorized official | Christman, Andrew T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2013 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831530658 | NPPES |
| Florida | MEDICAID | 259123500 | |
| Florida | Other | 800025871 |
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