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

First Coast Orthopedic Associates LLC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1053005348

First Coast Orthopedic Associates LLC is a Sports Medicine (Internal Medicine) Physician in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

6067 Kennerly Rd
Jacksonville, FL 32216-4305
Phone: (904) 731-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X

Record details

NPI number1053005348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haissam Barakat — Credentialing · (904) 962-6005
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address3701 Windmoor Dr, Jacksonville, FL 32217-4240

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