Provider Type Icon

JACKSONVILLE HEALTH ALLIANCE LLC NPI 1003468703


NPI Information

NPI: 1003468703
Provider Name: JACKSONVILLE HEALTH ALLIANCE, LLC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 493-3333
Get Directions

JACKSONVILLE HEALTH ALLIANCE, LLC is an interventional cardiology internal medicine in Jacksonville, FL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. JACKSONVILLE HEALTH ALLIANCE, LLC NPI is 1003468703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL
ZIP 32256-953
Phone: (904) 493-3333
Fax: (904) 493-2222

The provider's authorized official is Yazan Khatib .
The authorized official title is President and has the following contact phone number (904) 493-3333.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 7/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RI0011XInternal MedicineInterventional CardiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.