PHYSICIANS GROUP SERVICES PA (NPI# 1962655274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962655274 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS GROUP SERVICES PA |
| Other Organization Name | FAMILY MEDICAL CENTERS |
| Practice Address |
14444 Beach Blvd Suite 305a Jacksonville FL 32250-2079 |
| Mailing Address |
Po Box 850001 Orlando FL 32885-0001 |
| Practice Telephone | 9042657755 |
| Practice Fax Number | 9042657754 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042821550 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | MR. JEFFREY EDWARD BURKHART (EXECUSTIVE DIRECTOR) |
| Authorized Official Telephone | 9042826331 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIANS GROUP SERVICES PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
OS10067 | FL | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS10067 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841674314 | Physicians Group Services Pa | Pediatrics | 421 Kingsley Ave Ste 300, Orange Park, FL 32073-4898 | 2015-07-15 |
| 1861440810 | Physicians Group Services Pa | Nurse Practitioner | 3839 County Road 218, Middleburg, FL 32068-5708 | 2006-05-04 |
| 1932682986 | Physicians Group Services Pa | Clinic/Center | 421 Kingsley Ave Ste 400, Orange Park, FL 32073-4898 | 2018-09-14 |
| 1497118160 | Physicians Group Services Pa | Family Medicine | 14810 Old Saint Augustine Rd, Suite 207, Jacksonville, FL 32258-2451 | 2016-03-31 |
| 1699138362 | Physicians Group Services Pa | Family Medicine | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 | 2016-03-31 |
| 1962860619 | Physicians Group Services Pa | Podiatrist | 3839 County Road 218, Middleburg, FL 32068-5708 | 2016-02-09 |
| 1952706368 | Physicians Group Services Pa | Family Medicine | 2700 Riverside Ave, Suite 2, Jacksonville, FL 32205-8275 | 2014-10-28 |
| 1699170035 | Physicians Group Services Pa | Family Medicine | 13241 Bartram Park Blvd, Suite 1101, Jacksonville, FL 32258-5212 | 2014-10-28 |
| 1831530658 | Physicians Group Services Pa | Family Medicine | 421 Kingsley Ave, Orange Park, FL 32073-4897 | 2013-07-09 |
| 1598105686 | Physicians Group Services Pa | Family Medicine | 6816 Southpoint Pkwy, Suite 102, Jacksonville, FL 32216-1700 | 2013-07-03 |
| Street Address |
14444 BEACH BLVD SUITE 305A |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32250-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329056 | Anthony Edward Hamaty | Emergency Medicine | 14444 Beach Blvd, Suite 305b, Jacksonville, FL 32250-2079 | 2006-01-04 |
| 1457766933 | Christine Bell | Pharmacist | 14444 Beach Blvd, Jacksonville, FL 32250-2079 | 2014-06-24 |
| 1194146530 | Total Renal Care, Inc. | Clinic/Center | 14444 Beach Blvd, Ste B, Jacksonville, FL 32250-2010 | 2014-01-03 |
| 1295061109 | Kara Trzasko | Physician Assistant | 14444 Beach Blvd, Suite 28, Jacksonville, FL 32250-2079 | 2009-10-28 |
| 1629204029 | Laura Diane Broadhurst | Speech-Language Pathologist | 14444 Beach Blvd, #500, Jacksonville, FL 32250-2079 | 2009-05-31 |
| 1861637928 | Jennifer Lee Curr | Physical Therapist | 14444 Beach Blvd, Suite 500, Jacksonville, FL 32250-2079 | 2008-12-03 |
| 1366606063 | Physicians Group Services Pa | Pediatrics | 14444 Beach Blvd, Suite 305b, Jacksonville, FL 32250-2079 | 2008-07-11 |
| 1114181088 | Diane Beven Green | Occupational Therapist | 14444 Beach Blvd, Jacksonville, FL 32250-2079 | 2008-07-10 |
| 1659589026 | Zachalis Maite Borkowski | Speech-Language Pathologist | 14444 Beach Blvd, Jacksonville, FL 32250-2079 | 2007-05-18 |
| 1225164106 | Koren Lynn Tolentino | Speech-Language Pathologist | 14444 Beach Blvd, Suite 500, Jacksonville, FL 32250-2079 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962565457 | Mark Charles Hofmann | Physical Medicine & Rehabilitation | 2968 Rainbow Rd, Jacksonville, FL 32217-2435 | 2006-12-18 |
| 1578669933 | Jawed Hussain | Physical Medicine & Rehabilitation | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 | 2006-09-15 |
| 1396792818 | Allevia Medical, LLC | Physical Medicine & Rehabilitation | 14482 Cherry Lake Dr E, Jacksonville, FL 32258-5178 | 2006-05-29 |
| 1427011741 | Frank R Collier Jr. | Physical Medicine & Rehabilitation | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2006-04-08 |
| 1467445403 | Bao Tien Pham | Physical Medicine & Rehabilitation | 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 | 2005-08-24 |
| 1790045623 | Kyle R Bovee | Physical Medicine & Rehabilitation | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-05-25 |
| 1932428380 | Monika Yogesh Patel | Physical Medicine & Rehabilitation | 655 W 8th St, Jacksonville, FL 32209-6511 | 2010-05-25 |
| 1124273529 | Sunshine Spine and Pain, Pa | Physical Medicine & Rehabilitation | 3 Shircliff Way, Suite 610, Jacksonville, FL 32204-4757 | 2008-11-26 |
| 1215118062 | Accmed Healthcare Systems Inc | Physical Medicine & Rehabilitation | 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 | 2007-11-21 |
| 1801000161 | Ferdinand Joseph Formoso | Physical Medicine & Rehabilitation | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2007-05-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.