Active NPI
Avecina Medical, PA
- Urgent Care Clinic/Center
- Gainesville, FL
National Provider Identifier
1619625456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- AVECINA MEDICAL, PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1104450097
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1316186166
-
- Physician Assistant
- Jacksonville, FL
- NPI 1801473285
-
- Physician Assistant
- Jacksonville, FL
- NPI 1578788287
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.