Organization
FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAZAN KHATIB MD (PRESIDENT)
(904) 493-3333
Entity
Organization
Contact information
Practice address
115 BARTRAM OAKS WALK STE 104, FRUIT COVE, FL 32259-3247
(904) 493-3333
(904) 268-5505
Mailing address
PO BOX 551308, JACKSONVILLE, FL 32255-1308
(904) 493-3333
(904) 493-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
03/14/2017
Last updated
01/07/2025
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