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 463386 State Road 200 Unit A , Yulee FL 32097-3240. 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) 282-6331, or through Christman, Andrew T via phone (941) 685-7688.
Contact Information
Primary practice address
463386 State Road 200 Unit A
Yulee FL 32097-3240
Phone: (904) 282-6331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1922776988 |
|---|---|
| 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 | Sep 2nd, 2021 |
| Last updated | Apr 26th, 2024 - about 5 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 | 1922776988 | NPPES |
| Florida | MEDICAID | 259123550 |
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