FIRST COAST CARDIOVASCULAR (NPI# 1659812394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659812394 |
| Entity Type | Organization |
| Organization Name | FIRST COAST CARDIOVASCULAR |
| Practice Address |
665 State Road 207 Suite 102 St Augustine FL 32084-5938 |
| Mailing Address |
Po Box 551308 Jacksonville FL 32255-1308 |
| Practice Telephone | 9044933333 |
| Practice Fax Number | 9044932222 |
| Mailing Telephone | 9044933333 |
| Mailing Fax Number | 9044932222 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | DR. YAZAN KHATIB (PRESIDENT) |
| Authorized Official Telephone | 9044933333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986737 | First Coast Cardiovascular | Internal Medicine | 725 S 6th St, Macclenny, FL 32063-9653 | 2017-04-13 |
| 1265973911 | First Coast Cardiovascular | Internal Medicine | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2017-03-14 |
| 1790226447 | First Coast Cardiovascular | Internal Medicine | 5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1438 | 2017-03-14 |
| 1083155725 | First Coast Cardiovascular | Internal Medicine | 3890 Dunn Ave, Ste 203, Jacksonville, FL 32218-6428 | 2017-03-14 |
| 1811438559 | First Coast Cardiovascular | Internal Medicine | 9759 San Jose Blvd, Ste 2, Jacksonville, FL 32257-4401 | 2017-03-14 |
| 1255872982 | First Coast Cardiovascular | Internal Medicine | 1681 Eagle Harbor Pkwy, Ste B, Fleming Island, FL 32003-4819 | 2017-03-14 |
| 1154862803 | First Coast Cardiovascular | Internal Medicine | 1201 Monument Rd, Suite 201b, Jacksonville, FL 32225-7411 | 2017-03-14 |
| Street Address |
665 STATE ROAD 207 SUITE 102 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-5938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584492 | S S Marathe Md Pa | Family Medicine | 665 State Road 207, Suite 102, St Augustine, FL 32084-5938 | 2006-05-12 |
| 1366871774 | Rx-mart Pharmacy LLC | Pharmacy | 665 State Road 207, Suite 101, St Augustine, FL 32084-5938 | 2013-11-06 |
| 1114369055 | Nivali Ravi | Family Medicine | 665 State Road 207, Suite 102, St Augustine, FL 32084-5938 | 2013-07-19 |
| 1548545361 | Myragrace Japitana Golmayo | Nurse Practitioner | 665 State Road 207, Suite 102, St Augustine, FL 32084-5938 | 2011-10-12 |
| 1366492951 | Marina Rabkin | Family Medicine | 665 State Road 207, Suite 102, St Augustine, FL 32084-5938 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964722 | Baptist Cardiology Inc | Internal Medicine | 533 W Twincourt Trl Ste 701&702, St Augustine, FL 32095-8884 | 2018-06-05 |
| 1407038169 | Primecare Pl | Internal Medicine | 2720 Us Highway 1 S # B, St Augustine, FL 32086-6301 | 2007-12-04 |
| 1497361943 | Advanced Endovascular Institute | Internal Medicine | 2460 Old Moultrie Rd Ste 3, St Augustine, FL 32086-4198 | 2020-09-21 |
| 1770108706 | Ansaarie Cardiac & Endovascular Center of Excellence | Internal Medicine | 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 | 2020-06-16 |
| 1043515208 | Laurence M Matthews Md LLC | Internal Medicine | 3100 Us 1 S, #3, St Augustine, FL 32086-6351 | 2011-01-20 |
| 1770887176 | St Augustine Cardiology LLC | Internal Medicine | 3100 Us 1 S, Suite 3, St Augustine, FL 32086-6351 | 2010-12-29 |
| 1548463045 | Antoine B Abchee | Internal Medicine | 300 Health Park Blvd, Suite 1006, St Augustine, FL 32086-3707 | 2007-06-11 |
| 1194926626 | St Johns Cardiovascular Pa | Internal Medicine | 300 Health Park Blvd, Ste 1000, St Augustine, FL 32086-3707 | 2007-05-31 |
| 1831284306 | Robert C Kelsey | Internal Medicine | 2720 Us Highway 1 S, Ste B, St Augustine, FL 32086-6301 | 2006-10-03 |
| 1982798740 | Robert C Kelsey Md Pa | Internal Medicine | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2006-10-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on FIRST COAST CARDIOVASCULAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.