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FIRST COAST CARDIOVASCULAR INSTITUTE LLC
NPI 1013711498
Clinic/Center - Rehabilitation, Cardiac Facilities in Jacksonville, FL

Active since April 03, 2025CLIA Certified · 5 labs
7011 A C SKINNER PKWY STE 160, JACKSONVILLE, FL 32256(904) 493-3333(904) 493-2222 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About First Coast Cardiovascular Institute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST COAST CARDIOVASCULAR INSTITUTE LLC (NPI 1013711498) is a healthcare organization registered as a rehabilitation, cardiac facilities in Jacksonville, Florida and active in the NPI registry since April 2025. The organization holds 5 active CLIA laboratory certificates and lists Yazan Khatib, President, as its authorized official.

NPPES Registry Identity

NPI1013711498
Entity TypeOrganization
Primary Taxonomy261QR0404X
Legal Business NameFIRST COAST CARDIOVASCULAR INSTITUTE LLC
Location Address7011 A C SKINNER PKWY STE 160Jacksonville, FL 32256-6953
Mailing AddressPo Box 551308Jacksonville, FL 32255-1308 · (904) 493-3333 · Fax (904) 493-2222
Phone(904) 493-3333
Fax(904) 493-2222
Organization SubpartYes
Authorized OfficialYazan KhatibPresident · (904) 493-3333
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1013711498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Cardiac FacilitiesAmbulatory Health Care Facilities
Taxonomy Code261QR0404X
7011 A C SKINNER PKWY STE 160, Jacksonville, FL 32256
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2186776

First Coast Cardiovascular Institute, LLC · Jacksonville, FL
Active · expires Jun 21, 2028
CLIA Number10D2186776
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorYazan Khatib
Laboratory Phone(904) 493-3333
Laboratory LocationFirst Coast Cardiovascular Institute, LLC5851 Timuquana Rd - Ste 204, Jacksonville, FL 32210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2094861

First Coast Cardiovascular Institute, LLC · Fruit Cove, FL
Active · expires Apr 26, 2027
CLIA Number10D2094861
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorYazan Khatib
Laboratory Phone(904) 493-3333
Laboratory LocationFirst Coast Cardiovascular Institute, LLC115 Bartram Oaks Walk Suite 104, Fruit Cove, FL 32259
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2094470

First Coast Cardiovascular Institute, LLC · Jacksonville, FL
Active · expires Apr 16, 2027
CLIA Number10D2094470
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorYazan Khatib
Laboratory Phone(904) 493-3333
Laboratory LocationFirst Coast Cardiovascular Institute, LLC905 Beach Blvd, Jacksonville, FL 32250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2094471

First Coast Cardiovascular Institute, LLC · Jacksonville, FL
Active · expires Apr 16, 2027
CLIA Number10D2094471
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorYazan Khatib
Laboratory Phone(904) 493-3333
Laboratory LocationFirst Coast Cardiovascular Institute, LLC3890 Dunn Ave Ste 203, Jacksonville, FL 32218
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D1004976

First Coast Cardiovascular Institute LLC · Jacksonville, FL
Active · expires Oct 30, 2026
CLIA Number10D1004976
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorDr. Yazan Khatib
Laboratory Phone(904) 589-0847
Laboratory LocationFirst Coast Cardiovascular Institute LLC7011 Ac Skinner Parkway Suite 160, Jacksonville, FL 32256
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSONVILLE HEALTH ALLIANCE, LLC
Internal Medicine (Interventional Cardiology)
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
ANDREA BAILEY RICHARDSON CRNP
Nurse Practitioner
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
NINA HRUSTIC APRN
Nurse Practitioner
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
BRUCE P KRIEGER M.D.
Internal Medicine (Pulmonary Disease)
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
ABDEL ANABTAWI MD
Internal Medicine (Interventional Cardiology)
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
DR. MUBBASHER SYED M.D
Internal Medicine (Interventional Cardiology)
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
LILIANA TORREALBA PA
Physician Assistant (Medical)
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333
VISWANATH NATESAN M.D.
Internal Medicine (Interventional Cardiology)
7011 A C SKINNER PKWY STE 160
JACKSONVILLE, FL 32256
Duval County (904) 493-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Coast Cardiovascular Institute LLC's NPI number?

The NPI number for First Coast Cardiovascular Institute LLC is 1013711498. It was assigned to this organization in the NPPES registry on April 3, 2025.

Where is First Coast Cardiovascular Institute LLC located?

First Coast Cardiovascular Institute LLC is located at 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256. The listed phone number is (904) 493-3333.

What is First Coast Cardiovascular Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Cardiac Facilities, with taxonomy code 261QR0404X.

Does First Coast Cardiovascular Institute LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for First Coast Cardiovascular Institute LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.