| Coastal Family Medicine | |
|
421 Kingsley Ave Ste 300 Orange Park FL 32073-4898 | |
| (904) 621-0643 | |
| (904) 621-0644 |
| Full Name | Coastal Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 421 Kingsley Ave Ste 300, Orange Park, Florida |
| Authorized Official Name and Position | Andrew T Christman (CEO) |
| Authorized Official Contact | 9416857688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Medicine 705 Wells Rd Ste 300 Orange Park FL 32073-2982 Ph: (904) 282-6331 | Coastal Family Medicine 421 Kingsley Ave Ste 300 Orange Park FL 32073-4898 Ph: (904) 621-0643 |
| NPI Number | 1841674314 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841674314 | NPI | - | NPPES |
| 259123500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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Vital Health Associates of Florida LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Corporate Way Ste 200, Orange Park, FL 32073 Phone: 904-282-6331 Fax: 904-866-4818 |
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