Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

First Coast Psychiatric Services, PA

Organization Psychiatry Physician · NPI 1104222801

First Coast Psychiatric Services, PA is a Psychiatry Physician in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Phone: (904) 264-6977
Fax: (904) 269-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME112832 (FL)

Record details

NPI number1104222801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Edwards — Credentialing Coordinator · (904) 264-6977
NPI enumeratedNovember 7, 2014
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570

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