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NPI Code Detail

MEDICARE: AVECINA MEDICAL, PA

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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1548137490
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVECINA MEDICAL, PA
Provider Business Mailing Address
First Line : 4815 SWEETGRASS PL UNIT 201
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-0131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16890 US HIGHWAY 441
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-6705
Country : US
Telephone Number : 904-230-6988
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : AMANDA MORETTI KIGHT
Credential :
Telephone Number : 904-367-3372
Provider Enumeration Date : 10/23/2025
Last Update Date : 10/23/2025

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Directions to “AVECINA MEDICAL, PA ” Practice Location

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