Organization
FIRST COAST SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSAM RIZK (PRESIDENT)
(904) 731-3131
Entity
Organization
Contact information
Practice address
6206 ATLANTIC BLVD STE 1, JACKSONVILLE, FL 32211-7560
(904) 731-3131
(904) 731-0209
Mailing address
6067 KENNERLY RD, JACKSONVILLE, FL 32216-4305
(904) 731-3131
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/10/2006
Last updated
12/15/2025
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