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

First Coast Cardiovascular Institute, LLC

Organization Cardiovascular Disease Physician · NPI 1265973911

First Coast Cardiovascular Institute, LLC is a Cardiovascular Disease Physician in Palatka, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 Zeagler Dr
Palatka, FL 32177-3888
Phone: (904) 493-3333
Fax: (904) 493-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (FL)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X
Nephrology Physician Taxonomy 207RN0300X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1265973911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yazan Khatib — President · (904) 493-3333
NPI enumeratedMarch 14, 2017
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing addressPo Box 551308, Jacksonville, FL 32255-1308

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