FIRST COAST CARDIOVASCULAR INSTITUTE, LLC – Cardiovascular Disease Physician, NPI 1841307857
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
115 Bartram Oaks Walk Ste 104
Fruit Cove, FL 322593247
Phone: (904) 493-3333
Fax: (904) 268-5505
Type: Location
1681 Eagle Harbor Pkwy Ste B
Fleming Island, FL 320034819
Phone: (904) 644-0092
Fax: (904) 644-0099
Type: Location
205 Zeagler Dr Ste 101
Palatka, FL 321773860
Phone: (386) 325-2836
Fax: (386) 325-2736
Type: Location
5851 Timuquana Rd Ste 204
Jacksonville, FL 322107898
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
3890 Dunn Ave Ste 203
Jacksonville, FL 322186428
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
905 Beach Blvd Ste B
Jacksonville, FL 322504303
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
3627 University Blvd S Ste 435
Jacksonville, FL 322164238
Phone: (904) 724-5000
Fax: (904) 677-4498
Type: Location
7011, A. C. Skinner Parkway, Jacksonville, Duval County, Florida, 32256, United States
SUITE 160
JACKSONVILLE, FL 322566954
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
Box Tree Court, Arbor Pointe, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322551308
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (190 days ago).
Enrollment records
3
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040429001248 | O | Clinic/Group Practice | FL | TBD |
| O20201118001491 | O | Clinic/Group Practice | GA | 2025-11-30 |
| O20250402000006 | O | Intensive Cardiac Rehabilitation | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32259)
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