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PHYSICIANS GROUP SERVICES PA NPI 1184888711


NPI Information

NPI: 1184888711
Provider Name: PHYSICIANS GROUP SERVICES PA

Doing Business As: FAMILY MEDICAL CENTER NORWOOD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0934655

Address:
5445 NORWOOD AVE
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 765-7075
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PHYSICIANS GROUP SERVICES PA is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIANS GROUP SERVICES PA NPI is 1184888711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medical Center Norwood.

The provider's business location address is:

5445 NORWOOD AVE
JACKSONVILLE, FL
ZIP 32208-008
Phone: (904) 765-7075
Fax: (904) 765-6325

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 10D0934655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2008 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1259123506MEDICAIDFLORIDA

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: 4/28/2024

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