# AVECINA MEDICAL, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1740997865
- **Legal business name:** AVECINA MEDICAL, PA
- **Authorized official:** AMANDA MORETTI KIGHT (BILLING MANAGER)
- **Authorized official phone:** (904) 367-3372

## Contact information

- **Practice address:** 30 EPIC BLVD STE 100, ST AUGUSTINE, FL 32086-6603
- **Practice address phone:** (904) 217-3881
- **Practice address fax:** (904) 342-2368
- **Mailing address:** 4815 SWEETGRASS PL STE 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:** 10/28/2022
- **Last updated:** 07/29/2024