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Export Provider Record NPI 1063180644
Avecina Medical, Pa
Organization Subpart: YES
Active
NPI Number1063180644
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Urgent Care
Provider Details
NPI1063180644
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2021-08-31
Last Updated2024-07-29
Authorized OfficialAmanda Moretti Kight
BILLING MANAGER
Phone: 9043673372
Mailing Address4815 Sweetgrass Pl Ste 201
Jacksonville, FL 32224-0131
United States
Phone: (904) 367-3372
📍 View Map
Primary Practice Address2020 Kingsley Ave
Orange Park, FL 32073-5181
United States
Phone: (904) 458-4013 | Fax: (904) 579-4289
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QU0200X – Clinic/Center, Urgent Care
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About NPI 1063180644

Avecina Medical, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1063180644. The primary specialty listed is Clinic/Center, Urgent Care. The organization is located in Orange Park, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063180644?

NPI 1063180644 belongs to Avecina Medical, Pa, a Clinic/Center, Urgent Care in Orange Park, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063180644 active?

The current status of NPI 1063180644 in the NPPES registry is Active. The record was last updated on 2024-07-29.

What specialty is NPI 1063180644?

NPI 1063180644 is classified under the taxonomy Clinic/Center, Urgent Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063180644?

You can verify NPI 1063180644 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063180644?

The primary practice address on file for NPI 1063180644 is 2020 Kingsley Ave, Orange Park, FL 32073-5181. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063180644 issued?

NPI 1063180644 was first issued (enumerated) on 2021-08-31. The NPPES record was last updated on 2024-07-29.

Practice Location Map

Avecina Medical, Pa is located at 2020 Kingsley Ave, Orange Park, FL. Use the map below to find directions or verify the practice location.

📍 2020 Kingsley Ave, Orange Park, FL 32073-5181  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Avecina Medical, Pa. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162