MEDICARE: AVECINA MEDICAL, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1356180798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVECINA MEDICAL, PA

Provider Business Mailing Address
First Line	:	1811 BLANDING BLVD STE 101
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-4935
Country	:	US
Telephone Number	:	904-203-2852
Fax Number	:	904-406-0654

Provider Business Practice Location Address
First Line	:	2800 SW COLLEGE RD STE 102
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-4488
Country	:	US
Telephone Number	:	352-421-5978
Fax Number	:	352-421-9231

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	AMANDA MORETTI
Credential	:
Telephone Number	:	904-203-2852

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	10/11/2024

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Directions to “AVECINA MEDICAL, PA ” Practice Location

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