Family Medical Center Southside

LBN: Physicians Group Services Pa
Family Medical Center Southside is an health care organization with primary practice located at 1906 Southside Blvd , Jacksonville FL 32216-1930. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Physicians Group Services Pa can be contacted via phone (904) 724-3083, or through Christman, Andrew T via phone (941) 685-7688.

Contact Information

Primary practice address
1906 Southside Blvd Jacksonville FL 32216-1930
Phone: (904) 724-3083
Fax: (904) 727-9103
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
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1679737308
LBN Legal business name Physicians Group Services Pa
DBA Doing business as Family Medical Center Southside
Authorized official Christman, Andrew T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 11th, 2008
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 1679737308 NPPES
Florida MEDICAID 259123501

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