FIRST COAST CARDIOVASCULAR NPI 1255872982

NPI Information

FIRST COAST CARDIOVASCULAR is a cardiovascular disease internal medicine in Fleming Island, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FIRST COAST CARDIOVASCULAR NPI is 1255872982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1681 EAGLE HARBOR PKWY
STE B
FLEMING ISLAND, FL
ZIP 32003-819
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 CLIA number assigned to this NPI record is 10D2052875 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2017 and was last updated on 3/12/2021.

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:

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