# AVECINA MEDICAL PA

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

## Provider details

- **NPI number:** 1740096502
- **Legal business name:** AVECINA MEDICAL, PA
- **Authorized official:** AMANDA MORETTI KIGHT (BILLING MANAGER)
- **Authorized official phone:** (904) 367-3372

## Contact information

- **Practice address:** 1640 TECHNOLOGY BLVD UNIT 110, DAYTONA BEACH, FL 32117-7315
- **Practice address phone:** (904) 367-3372
- **Mailing address:** 4815 SWEETGRASS PL UNIT 201, JACKSONVILLE, FL 32224-0131
- **Mailing address phone:** (904) 367-3372

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2024
- **Last updated:** 12/06/2024