NPIMap

Organization Active NPI

Avecina Medical

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1063801934
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME Issued in FL
Legal business name
AVECINA MEDICAL
Practice address
9580 Applecross Rd
106
Jacksonville, FL 32222-5845
Phone
(904) 778-9180
Fax
(904) 778-9740
NPI assigned
Jan 15, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Saman Soleymani, M.D.NPI 1942260955
Title
Owner
Phone
(904) 962-7396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME FL Primary

Addresses

Primary practice location

9580 Applecross Rd
106
Jacksonville, FL 32222-5845

Mailing address

1633 Race Track Rd
St Johns, FL 32259
Phone (904) 230-6988

National Provider Directory

National Provider Directory

Locations

1633 Race Track Rd
St Johns, FL 32259
Phone (786) 614-3155

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1063801934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "904-230-6988",
            "fax_number": "904-342-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 APPLECROSS RD",
            "address_2": "106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225845",
            "telephone_number": "904-778-9180",
            "fax_number": "904-778-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SOLEYMANI",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-962-7396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.