First Coast Cardiovascular Institute, LLC
First Coast Cardiovascular Institute, LLC is a Cardiovascular Disease Physician in Fruit Cove, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
- Specialties on file
- 7
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 Bartram Oaks Walk Ste 104Fruit Cove, FL 32259-3247
Phone: (904) 493-3333
Fax: (904) 268-5505
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X (FL) |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
| 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 number | 1659812394 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yazan Khatib — President · (904) 493-3333 |
| NPI enumerated | March 14, 2017 |
| Last updated in NPPES | January 7, 2025 |
| Certification date | January 7, 2025 |
| Mailing address | Po Box 551308, Jacksonville, FL 32255-1308 |