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

First Coast Medical Associates LLC

Organization Internal Medicine Physician · NPI 1760881163

First Coast Medical Associates LLC is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
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

13241 Bartram Park Blvd Unit 413
Jacksonville, FL 32258-5237
Phone: (904) 400-6800
Fax: (904) 400-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Preferred Provider Organization Taxonomy 305R00000X · Licence ME98044 (FL)

Record details

NPI number1760881163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravi Kancha — Docto · (904) 400-6800
NPI enumeratedAugust 21, 2014
Last updated in NPPESNovember 12, 2014
Mailing address13241 Bartram Park Blvd Unit 413, Jacksonville, FL 32258-5237

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