Organization Active NPI

Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Yulee, FL
National Provider Identifier
1962200717
Registry record updated May 28, 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
96031 Victorias PL Unit 111
Yulee, FL 32097-8633
Phone
(904) 326-5984
Fax
(904) 310-3717
NPI assigned
Mar 6, 2025
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AVECINA MEDICAL, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 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

96031 Victorias PL Unit 111
Yulee, FL 32097-8633

Mailing address

4815 Sweetgrass PL Unit 201
Jacksonville, FL 32224-0131

National Provider Directory

National Provider Directory
Part of
Avecina Medical PA

Locations

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

105 Badger Park Dr
Ste 9
St Johns, FL 32259
Phone (904) 217-8880

4580 Race Track Rd
Ste 102
St Johns, FL 32259
Phone (904) 679-3537

17136 SE 109th Terrace Rd
Ste 4
Summerfield, FL 34491
Phone (352) 320-6154

96031 Victorias Pl
Unit 111
Yulee, FL 32097
Phone (904) 230-6988

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1962200717",
    "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": "96031 VICTORIAS PL UNIT 111",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978633",
            "telephone_number": "904-326-5984",
            "fax_number": "904-310-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL, PA",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "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 Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.