# AVECINA MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AVECINA MEDICAL PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053981142
- **Legal business name:** AVECINA MEDICAL PA
- **Authorized official:** AMANDA MORETTI KIGHT (BILLING MANAGER)
- **Authorized official phone:** (904) 723-4707

## Contact information

- **Practice address:** 4160 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216-8500
- **Practice address phone:** (904) 900-1717
- **Practice address fax:** (904) 367-2143
- **Mailing address:** 4815 SWEETGRASS PL STE 201, JACKSONVILLE, FL 32224-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 07/29/2024