Avecina Medical, PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AVECINA MEDICAL, PA

Practice address

17136 SE 109TH Terrace Rd Ste 4
Summerfield, FL 34491-9032

Phone

(904) 230-6898

NPI assigned

May 13, 2025

Last updated

May 13, 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

Locations

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.

• Barbara Annette (G) Baugher, MSN-FNP-C

  • Family Nurse Practitioner
  • Largo, FL
  • NPI 1255975207
  NPD
• Artem I Lorens

  • Family Nurse Practitioner
  • Palm Coast, FL
  • NPI 1396520573
  NPD (past)
• Ethan Anthony Reulet

  • Nurse Practitioner
  • Summerfield, FL
  • NPI 1215576590
  NPD (past)
• Saman Soleymani, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1942260955
  NPD (past)

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1881485654",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17136 SE 109TH TERRACE RD STE 4",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919032",
            "telephone_number": "904-230-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL, PA",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "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": []
}

• Arms of Jesus
• Ashoka Healthcare, LLC
• Associated Optometrists of Overholser & Overholser OD PA
• Ma Thuzar Aung, M.D.
• Austin J. Rehm DC L.L.C.
• Eniola Ayoola, P.A.
• Carla Renee Bailey, PA-C
• Catherine Baitinger, DMD
• Mary F Barber, M.D.
• Leon Martin Bard, P.A.C.

• Urgent Care Clinic/Center in Summerfield, FL
• Providers in Summerfield, 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 May 13, 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.