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
1	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1184888711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS GROUP SERVICES PA

Provider Business Mailing Address
First Line	:	330 CORPORATE WAY STE 200
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-6214
Country	:	US
Telephone Number	:	904-282-6331
Fax Number	:	904-619-1080

Provider Business Practice Location Address
First Line	:	463380 STATE ROAD 200 UNIT B
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097-3240
Country	:	US
Telephone Number	:	904-282-6331
Fax Number	:	904-866-4818

Authorized Official
Title or Position	:	CEO
Name	:	ANDREW T CHRISTMAN
Credential	:
Telephone Number	:	941-685-7688

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	01/15/2026

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Directions to “PHYSICIANS GROUP SERVICES PA ” Practice Location

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