Organization Active NPI

Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Clermont, FL
National Provider Identifier
1124984976
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AVECINA MEDICAL, PA
Practice address
1745 US Highway 27
Unit 3
Clermont, FL 34714
Phone
(904) 230-6988
Fax
(904) 990-1551
NPI assigned
Dec 24, 2025
Organization subpart
Yes
Parent organization
AVECINA MEDICAL PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Amanda Moretti Kight
Title
Billing Manager
Phone
(904) 367-3372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1745 US Highway 27
Unit 3
Clermont, FL 34714

Mailing address

4815 Sweetgrass PL Unit 201
Jacksonville, FL 32224-0131
Phone (904) 367-3372

National Provider Directory

National Provider Directory
Tax ID family
Avecina Medical PA3 organizations share this tax ID, including this one
Part of
Avecina Medical PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1124984976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 SWEETGRASS PL UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240131",
            "telephone_number": "904-367-3372",
            "fax_number": "904-990-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 US HIGHWAY 27",
            "address_2": "UNIT 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "904-230-6988",
            "fax_number": "904-990-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL PA",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "MORETTI KIGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-367-3372"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.