Avecina Medical, PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AVECINA MEDICAL, PA

Practice address

16890 US Highway 441
Mount Dora, FL 32757-6705

Phone

(904) 230-6988

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

AVECINA MEDICAL PAAs reported in NPPES

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

Addresses

Part of

Avecina Medical PA

Practitioners 2

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.

• Diem Tran, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1396338877
  NPD
• Kimberly Mattson Wieringa, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1316136591
  NPD

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1548137490",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16890 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576705",
            "telephone_number": "904-230-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL PA",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "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": []
}

• Joy D Atkins, PT, DPT
• Attentive Home Care Services LLC
• Audiology Services Company USA, LLC
• Prince Augustin
• Avante at Mt. Dora, Inc.
• Ismael Awadalla
• Zeynab Awadalla
• Ann Ayala Vazquez
• Mohammad Azad
• Abdul Majid Azizi, DMD

• Urgent Care Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.