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
7011 A C SKINNER PKWY, SUITE 160, JACKSONVILLE, FL 32256-6954
(904) 493-3333
(904) 493-2222
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
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
FL
207RI0011X
Interventional Cardiology Physician
—
FL
207RN0300X
Nephrology Physician
—
FL
207RP1001X
Pulmonary Disease Physician
—
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
FL
2084N0400X
Neurology Physician
—
FL
2084N0600X
Clinical Neurophysiology Physician
—
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
FL
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117885400
—
FL
01
—
34459
BCBS
—
Enumeration date
08/24/2006
Last updated
01/07/2025
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