AVECINA MEDICAL PA – NPI #1215082003
Clinic/Center

AVECINA MEDICAL PA is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1215082003 to AVECINA MEDICAL PA on January 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Jul 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVECINA MEDICAL PA below.

NPI Profile for
AVECINA MEDICAL PA

NPI Number
1215082003
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVECINA MEDICAL PA
Primary location
1633 RACE TRACK RD
SUITE 1
JACKSONVILLE, FL 32259-3234
Phone: (904) 230-6988 Fax: (904) 342-4028
3 Other location(s):
4160 Southside Blvd # 10
Jacksonville, FL 32216-8500
Phone: (904) 900-1717
Fax: (904) 367-2143
5915 Normandy Blvd
Jacksonville, FL 32205-6200
Phone: (904) 379-8085
Fax: (904) 619-8042
9580 Applecross Rd Ste 106
Jacksonville, FL 32222-5843
Phone: (904) 778-9180
Fax: (904) 778-9740
Mailing address
4815 SWEETGRASS PL STE 201
JACKSONVILLE, FL 32224-0131
Phone: (904) 367-3373 Fax:
Organization Subpart
No
Authorized Official
AMANDA MORETTI KIGHT
BILLING MANAGER
Phone: (904) 367-3372
Updated
Certification Date
Jul 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVECINA MEDICAL PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL006670000
medicaidFL006670005
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
FL ME88018

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1633 RACE TRACK RD STE 101,
JACKSONVILLE, FL 77025-1669