Organization
AVECINA MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MORETTI KIGHT (BILLING MANAGER)
(904) 367-3372
Entity
Organization
Contact information
Practice address
1633 RACE TRACK RD, SUITE 1, JACKSONVILLE, FL 32259-3234
(904) 230-6988
(904) 342-4028
Mailing address
4815 SWEETGRASS PL STE 201, JACKSONVILLE, FL 32224-0131
(904) 367-3373
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
ME88018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006670000
—
FL
05
—
006670005
—
FL
Enumeration date
01/24/2007
Last updated
07/29/2024
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