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 2700 Riverside Ave Suite 2, Jacksonville FL 32205-8275. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Physicians Group Services Pa can be contacted via phone (904) 265-7020, or through Christman, Andrew T via phone (941) 685-7688.

Contact Information

Primary practice address
2700 Riverside Ave Suite 2 Jacksonville FL 32205-8275
Phone: (904) 265-7020
Fax: (904) 265-7039
Website:
Map and Directions
Authorized official contact:
Name: Christman, Andrew T
Phone: (941) 685-7688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1952706368
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 Oct 28th, 2014
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952706368 NPPES
Florida MEDICAID 259123500

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