Organization
FIRST COAST CARDIOVASCULAR SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAZAN KHATIB MD (PRESIDENT)
(904) 493-3333
Entity
Organization
Contact information
Practice address
7011 A C SKINNER PKWY STE 170, JACKSONVILLE, FL 32256-6953
(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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
03/18/2024
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