FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
NPI 1083155725
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

NPI Status: Active since March 14, 2017

Contact Information

3890 DUNN AVE
STE 203
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 493-3333
Fax: (904) 493-2222

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance

About FIRST COAST CARDIOVASCULAR INSTITUTE, LLC

This page provides the complete NPI Profile along with additional information for First Coast Cardiovascular Institute, Llc, an internist established in Jacksonville, Florida operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1083155725 assigned on March 2017. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. First Coast Cardiovascular Institute, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Yazan Khatib Md (President)

NPI
1083155725
Provider Name
FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
Entity Type
Organization
Location Address
3890 DUNN AVE STE 203 JACKSONVILLE, FL 32218
Location Phone
(904) 493-3333
Location Fax
(904) 493-2222
Mailing Address
PO BOX 551308 JACKSONVILLE, FL 32255
Mailing Phone
(904) 493-3333
Mailing Fax
(904) 493-2222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2017
Last Update Date
04-24-2023
Code Navigator

An internist like First Coast Cardiovascular Institute, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
2207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

 
3207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
4208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. YAZAN KHATIB MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 493-3333

Reviews for FIRST COAST CARDIOVASCULAR INSTITUTE, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083155725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163251074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 5 + 1 + 0 + 7 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1083155725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851352082DR. EUGENE E. RUCKH D.P.M.
Individual
Podiatrist3890 DUNN AVE STE 101
JACKSONVILLE, FL 32218
(904) 619-9338
1114201381AMIT CHOKSHI MD PA
Organization
Ophthalmology3890 DUNN AVE STE 902
JACKSONVILLE, FL 32218
(904) 346-3506
1750659405 APRIL NEWMAN
Individual
Social Worker3890 DUNN AVE SUITE 1104
JACKSONVILLE, FL 32218
(904) 723-6049
1205105939FOOT & ANKLE SPECIALISTS OF JACKSONVILLE, INC.
Organization
Podiatrist3890 DUNN AVE STE 101
JACKSONVILLE, FL 32218
(904) 619-9338
1326394792MRS. VERONICA THOMPSON
Individual
Social Worker3890 DUNN AVE STE. 1104
JACKSONVILLE, FL 32218
(904) 723-6049
1063847465PSI BEHAVIORAL HEALTH LLC
Organization
Case Management3890 DUNN AVE SUITE 1104
JACKSONVILLE, FL 32218
(904) 723-6049
1639507254 JOHN WARREN L.M.H.C.
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 723-6049
1174595318DR. TINA NANNETTE TILLIS MD
Individual
Ophthalmology3890 DUNN AVE #902
JACKSONVILLE, FL 32218
(904) 345-3473
1467867168TNTMD PA
Organization
Ophthalmology3890 DUNN AVE SUITE 902
JACKSONVILLE, FL 32218
(904) 345-3473
1740631738 TERRA HAROLD JACKSON
Individual
Case Management3890 DUNN AVE SUITE 1104
JACKSONVILLE, FL 32218
(904) 723-6049
1154762284PSI BEHAVIORAL HEALTH, LLC
Organization
Public Health or Welfare3890 DUNN AVE SUTIE 1104
JACKSONVILLE, FL 32218
(904) 723-6049
1265029078 KHANDI CRAWFORD
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665
1174110985 FRANCESCA JULES BA
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665
1700473519 MARIANA NMN RODRIGUEZ
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665
1538740709 ALEXIS MORRISON
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665
1225602055 JACQUELINE TYSON
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665
1013113554PSI SERVICES III, INC.
Organization
Community/Behavioral Health3890 DUNN AVE SUITE 1104
JACKSONVILLE, FL 32218
(904) 723-6049
1417642422 BRIANA M STONE BLP
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0065
1104516822 MARIE MICHELLE BROOKS
Individual
Counselor (Addiction (Substance Use Disorder))3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665
1467144592MS. KIYAH NOEMA THOMAS
Individual
Counselor (Mental Health)3890 DUNN AVE
JACKSONVILLE, FL 32218
(904) 765-0665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083155725, enumerated in the NPI registry as an "organization" on March 14, 2017

The provider is located at 3890 Dunn Ave Ste 203 Jacksonville, Fl 32218 and the phone number is (904) 493-3333

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 14, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.