OrganizationActive
Jacksonville Health Alliance, LLC
NPI 1003468703 · Interventional Cardiology Physician · Jacksonville, FL
Provider details
- NPI number
- 1003468703
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yazan Khatib, President(904) 493-3333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7011 a C Skinner Pkwy Ste 160
Jacksonville, FL 32256-6953
Phone: (904) 493-3333
Fax: (904) 493-2222
Street-level locationGet directions
Mailing address
7011 a C Skinner Pkwy Ste 160
Jacksonville, FL 32256-6953
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2019-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.