MEDICARE: FIRST COAST SURGICAL ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	207X00000X	Orthopaedic Surgery Physician
3	208C00000X	Colon & Rectal Surgery Physician
4	208VP0014X	Interventional Pain Medicine Physician
5	207RS0012X	Sleep Medicine (Internal Medicine) Physician
6	2084N0400X	Neurology Physician
7	207RP1001X	Pulmonary Disease Physician
8	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1548249543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST COAST SURGICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	6067 KENNERLY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4305
Country	:	US
Telephone Number	:	904-731-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	6206 ATLANTIC BLVD STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-7560
Country	:	US
Telephone Number	:	904-731-3131
Fax Number	:	904-731-0209

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BASSAM RIZK
Credential	:
Telephone Number	:	904-731-3131

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	12/15/2025

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Directions to “FIRST COAST SURGICAL ASSOCIATES INC ” Practice Location

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