PHYSICIANS GROUP SERVICES PA NPI 1336511690

NPI Information

  • NPI: 1336511690
  • Provider Name: PHYSICIANS GROUP SERVICES PA
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Doing Business As: COASTAL SPINE AND PAIN
  • CLIA Number: 10D2059606
  • Address: 1361 13TH AVE S UNIT 250-A
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 265-7755

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NPI Details

PHYSICIANS GROUP SERVICES PA is a pain medicine physical medicine rehabilitation in Jacksonville Beach, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PHYSICIANS GROUP SERVICES PA NPI is 1336511690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Spine And Pain.

The provider's business location address is:

1361 13TH AVE S UNIT 250-A
JACKSONVILLE BEACH, FL
ZIP 32250-233
Phone: (904) 265-7755
Fax: (904) 265-7754

The provider's authorized official is Andrew T Christman .
The authorized official title is Ceo and has the following contact phone number (941) 685-7688.

The CLIA number assigned to this NPI record is 10D2059606 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes
2208VP0000XPain MedicinePain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1259123500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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