NPIMap

Organization Active NPI

First Coast Cardiovascular Institute LLC

  • Cardiac Rehabilitation Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1013711498
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
FIRST COAST CARDIOVASCULAR INSTITUTE LLC
Practice address
7011 A C Skinner Pkwy Ste 160
Jacksonville, FL 32256-6953
Phone
(904) 493-3333
Fax
(904) 493-2222
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST COAST CARDIOVASCULAR INSTITUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yazan Khatib, MDNPI 1588653257
Title
President
Phone
(904) 493-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X NU Primary

Addresses

Primary practice location

7011 A C Skinner Pkwy Ste 160
Jacksonville, FL 32256-6953

Mailing address

PO Box 551308
Jacksonville, FL 32255-1308
Phone (904) 493-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402000006 FL Part B Supplier - Intensive Cardiac Rehabilitation 6002803020 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
First Coast Cardiovascular Institute LLC6 organizations share this tax ID, including this one
Part of
First Coast Cardiovascular Institute LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14011 Beach Blvd
Jacksonville, FL 32250
Phone (904) 493-5367

2726 Saint Johns Ave
Ste 104
Jacksonville, FL 32205
Phone (904) 450-8940

3599 University Blvd S
Ste 901
Jacksonville, FL 32216
Phone (904) 398-1363

5233 Ricker Rd
Jacksonville, FL 32210
Phone (904) 425-6963

5851 Timuquana Rd
Ste 204
Jacksonville, FL 32210

9765 San Jose Blvd
Ste 5
Jacksonville, FL 32257

9889 Gate Pkwy N
Bldg 200
Jacksonville, FL 32246
Phone (904) 725-0200

665 State Road 207
Ste 102
Saint Augustine, FL 32084
Phone (904) 484-5176

7 Ryant Blvd
Ste 7
Sebring, FL 33870
Phone (863) 314-6354

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1013711498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551308",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551308",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 A C SKINNER PKWY STE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566953",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST CARDIOVASCULAR INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST COAST CARDIOVASCULAR INSTITUTE LLC",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-493-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.