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NPI Code Detail

MEDICARE: PHYSICIANS GROUP SERVICES PA

MEDICARE: PHYSICIANS GROUP SERVICES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2208000000XPediatrics Physician
3208VP0000XPain Medicine Physician
4225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144568262
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS GROUP SERVICES PA
Provider Business Mailing Address
First Line : 705 WELLS RD STE 300
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-2982
Country : US
Telephone Number : 904-282-6331
Fax Number :
Provider Business Practice Location Address
First Line : 2700 RIVERSIDE AVE STE 4
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32205-8233
Country : US
Telephone Number : 904-265-8232
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANDREW T CHRISTMAN
Credential :
Telephone Number : 941-685-7688
Provider Enumeration Date : 01/24/2013
Last Update Date : 05/30/2025

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Directions to “PHYSICIANS GROUP SERVICES PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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