OrganizationActive
First Coast Orthopedic Associates LLC
NPI 1053005348 · Sports Medicine (Internal Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1053005348
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Haissam Barakat, Credentialing
Mailing address
3701 Windmoor Dr
Jacksonville, FL 32217-4240
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.