Organization Active NPI

Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Gainesville, FL
National Provider Identifier
1619625456
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AVECINA MEDICAL, PA
Practice address
3600 SW Archer Rd Ste a-1
Gainesville, FL 32608-2421
Phone
(352) 240-6048
Fax
(352) 240-6054
NPI assigned
Mar 11, 2022
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AVECINA MEDICAL, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

3600 SW Archer Rd Ste a-1
Gainesville, FL 32608-2421

Mailing address

1811 Blanding Blvd Ste 101
Middleburg, FL 32068-4935
Phone (904) 203-2852

National Provider Directory

National Provider Directory
Part of
Avecina Medical PA

Locations

3600 SW Archer Rd
Ste A-1
Gainesville, FL 32608
Phone (352) 240-6048

Practitioners & affiliated clinicians

Practitioners 4

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": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1619625456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BLANDING BLVD STE 101",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684935",
            "telephone_number": "904-203-2852",
            "fax_number": "904-990-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SW ARCHER RD STE A-1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082421",
            "telephone_number": "352-240-6048",
            "fax_number": "352-240-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL, PA",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-07-29",
        "certification_date": "2024-05-30",
        "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 Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.