PHYSICIANS GROUP SERVICES PA NPI 1699170035

NPI Information

NPI: 1699170035
Provider Name: PHYSICIANS GROUP SERVICES PA
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
:
CLIA Number: 10D2055112
Address: 1811 BLANDING BLVD STE 102
MIDDLEBURG, FL
ZIP 32068
Phone: (904) 661-2394

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NPI Details

PHYSICIANS GROUP SERVICES PA is a durable medical equipment medical supplies in Middleburg, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PHYSICIANS GROUP SERVICES PA NPI is 1699170035. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1811 BLANDING BLVD STE 102
MIDDLEBURG, FL
ZIP 32068-935
Phone: (904) 661-2394
Fax: (904) 621-9105

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 10D2055112 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 5/30/2025.

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	Primary
1	207X00000X	Orthopaedic Surgery		No
2	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	No
3	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery	No
4	213E00000X	Podiatrist		No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
6	213ES0131X	Podiatrist	Foot Surgery	No
7	363A00000X	Physician Assistant		No
8	363AS0400X	Physician Assistant	Surgical	No
9	363L00000X	Nurse Practitioner		No
10	363LC0200X	Nurse Practitioner	Critical Care Medicine	No
11	332B00000X	Durable Medical Equipment & Medical Supplies		Yes

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	259123500	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: 11/21/2025

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