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 1865 Lime St Suite 101, Fernandina Beach FL 32034-4744. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, 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) 321-2422, or through Christman, Andrew T via phone (941) 685-7688.

Contact Information

Primary practice address
1865 Lime St Suite 101 Fernandina Beach FL 32034-4744
Phone: (904) 321-2422
Fax: (904) 321-2434
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 / Pain Medicine 208VP0000X

Profile Details

NPI number 1649584079
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 Jul 27th, 2010
Last updated Apr 26th, 2024 - about 2 years 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 1649584079 NPPES
Florida MEDICAID 259123500

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