PHYSICIANS GROUP SERVICES PA NPI 1053981506

NPI Information

NPI: 1053981506
Provider Name: PHYSICIANS GROUP SERVICES PA

Doing Business As: FAMILY MEDICAL CENTERS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
3839 COUNTY ROAD 218
MIDDLEBURG, FL
ZIP 32068
Phone: (904) 282-5474
Get Directions

PHYSICIANS GROUP SERVICES PA is a family medicine in Middleburg, 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 1053981506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medical Centers.

The provider's business location address is:

3839 COUNTY ROAD 218
MIDDLEBURG, FL
ZIP 32068-708
Phone: (904) 282-5474

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 10D0710236 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 4/25/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes
2	363LF0000X	Nurse Practitioner	Family			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	259123514	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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