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

NPI Status: Active since April 03, 2025

Contact Information

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

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Cardiac Facilities
CLIA Number: 10D1004976
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 10-30-2026

About FIRST COAST CARDIOVASCULAR INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for First Coast Cardiovascular Institute Llc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in rehabilitation, cardiac facilities . The healthcare provider is registered in the NPI registry with number 1013711498 assigned on April 2025. The practitioner's primary taxonomy code is 261QR0404X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Yazan Khatib Md (President)

NPI: 1013711498
Provider Name: FIRST COAST CARDIOVASCULAR INSTITUTE LLC
Entity Type: Organization
Location Address: 7011 A C SKINNER PKWY STE 160 JACKSONVILLE, FL 32256
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?: Yes
Enumeration Date: 04-03-2025
Last Update Date: 04-03-2025
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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: Clinic/Center Rehabilitation, Cardiac Facilities
Taxonomy Code: 261QR0404X
Type: Ambulatory Health Care Facilities

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: YAZAN KHATIB MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (904) 493-3333

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D1004976
Facility Type: Physician Office
Certificate Effective Date: October 31, 2024
Certificate Expiration Date: October 30, 2026
Laboratory Director: DR. YAZAN KHATIB
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to First Coast Cardiovascular Institute Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013711498, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 4 + 1 + 2 + 4 + 1 + 8 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1013711498.