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FIRST COAST CARDIOVASCULAR INSTITUTE, LLC - Florida Company Profile

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Company Details

Entity Name: FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Apr 2023 (2 years ago)
Last Event: CONVERSION
Event Date Filed: 14 Apr 2023 (2 years ago)
Document Number: L23000183574
FEI/EIN Number 470854466
Address: 7011 A.C. SKINNER PARKWAY, SUITE 160, JACKSONVILLE, FL, 32256, US
Mail Address: 7011 A.C. SKINNER PARKWAY, SUITE 160, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KHATIB YAZAN M.D. Manager 7011 A.C. SKINNER PARKWAY, SUITE 160, JACKSONVILLE, FL, 32256
- Agent -

Unique Entity ID

Unique Entity ID:
GBA7KMNB6T74
CAGE Code:
6XJ31
UEI Expiration Date:
2025-01-18

Business Information

Doing Business As:
FIRST COAST CARDIOVASCULAR INSTITUTE, P.A.
Division Name:
FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
Activation Date:
2024-02-01
Initial Registration Date:
2013-06-05

Commercial and government entity program

CAGE number:
6XJ31
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-18
CAGE Expiration:
2029-02-01
SAM Expiration:
2025-01-18

Contact Information

POC:
ELIAS DEMETREE
Corporate URL:
www.firstcoastcardio.com

National Provider Identifier

NPI Number:
1013711498
Certification Date:
2025-04-03

Authorized Person:

Name:
YAZAN KHATIB
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QR0404X - Cardiac Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9044932222

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2025-07-09 - -
CONVERSION 2023-04-14 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P02000032578. CONVERSION NUMBER 300000238783

Documents

Name Date
ANNUAL REPORT 2024-04-30
Florida Limited Liability 2023-04-14

Trademarks

Serial Number:
86238135
Mark:
FLORIDA CLINICS
Status:
ABANDONED-FAILURE TO RESPOND OR LATE RESPONSE
Mark Type:
SERVICE MARK
Application Filing Date:
2014-04-01
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
FLORIDA CLINICS

Goods And Services

For:
health care clinics, namely, clinics to provide diagnostic testing to include among other tests the following: MRIs, CAT scans, EKGs, EEGs. blood tests and urine testing and medical care including the diagnosis and treatment of a variety of medical conditions outside the hospital setting
International Classes:
044 - Primary Class
Class Status:
Active

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Date of last update: 02 Jul 2025

Sources: Florida Department of State