Avecina medical middleburg

2747 BLANDING BLVD SUITE 104 MIDDLEBURG, FL 32068: Non-Participating Provider: NO: 1245988302: LEGACY FAMILY HEALTHCARE INC: Organization: Nurse Practitioner (Family) 974 SUNNY STROLL DR MIDDLEBURG, FL 32068: Non-Participating Provider: NO: 1003009291: BAKER COMMUNITY MEDICAL PRACTICE INC: Organization: Clinic/Center: 159 N 3RD ST MACCLENNY, FL ...

The Avecina Medical community prides itself on staying involved and participating in various community outreach opportunities that speak to our core values and to our hearts. This page is devoted to sharing our stories of outreach efforts here in the local community as well as abroad.EIN/TAX ID : 201628686 : AVECINA MEDICAL, P.A. EIN REST API PDF MOBI An Employer Identification Number (EIN) is also known as a Federal Tax Identification Number, and is used to identify a business entity. Generally, businesses need an EIN. You may apply for an EIN in various ways, and now you may apply online. ...Listings in Middleburg, Florida, United States, Florida. Research Physician Insurance Accepted, Office Hours, Online Appointments, Virtual Consultations, Savings ...One such location is Avecina Medical, located at 5915 Normandy Blvd, Jacksonville, FL 32205. With a 4.55 rating and noted for its short wait times, this clinic is a reliable option for STD testing. You can book appointments at Avecina Medical and similar clinics through Solv’s website and mobile app. Primary care providersAvecina Medical, St. Johns is an urgent care center in Saint Johns, located at 105 Badger Park Dr, Ste 8. They are open 7 days a week, including today from 8:00AM to 8:00PM seeing walk-in patients with non-emergent healthcare conditions. Unlike most urgent care and walk-in clinics, Avecina Medical, St. Johns offers you the ability to book ...Find a same-day appointment for Cholesterol test in Middleburg. Top-rated local providers can get you in and out for your cholesterol screeningquickly. Book with Solv today!

Find and book nearby COVID testing and rapid testing in Middleburg and get same day results. Thousands of participating coronavirus testing sites nationally, including throughout Florida with many free testing and drive-through testing options. ... Avecina Medical, Middleburg Avecina Medical. Urgent care. Accepts kids. 1811 Blanding Blvd ...Carmica Medical is well known for excellent customer service. Our team is extremely friendly, helpful and customer orientated. We ultimately pride ourselves on our service due to years of experience and knowledge, and promise our customers the best assistance and advice. We are considered the most preferred "one-stop-medical equipment shop ...Find and book nearby COVID testing and rapid testing in Middleburg and get same day results. Thousands of participating coronavirus testing sites nationally, including throughout Florida with many free testing and drive-through testing options. ... Avecina Medical, Middleburg Avecina Medical. Urgent care. Accepts kids. 1811 Blanding Blvd ...Avicenna Tajik State Medical University, 734003, RT, Dushanbe, dist.Sino, str.Sino 29-31 Тел.: (+992) 446-600-3977, 2353496 Факс: 2243687Posted by DeAnn Dennis on Thu, Mar 04, 2010 @ 11:02 AM. Ann Arbor, MI - March 4, 2010 - Avicenna Medical Systems, Inc, a leading provider of chronic disease management systems and clinical procedure documentation, announced today that it has secured $40,000 in financing from the Business Accelerator program administered by Ann Arbor SPARK.FacebookSince our company's inception in 2006, we've been dedicated to helping healthcare providers take better care of their patients. Today, we develop and market software designed specifically for chronic care management, care transitions and specialty disease management. With decades of combined healthcare IT experience, our team has a strong ...Avecina Medical, St. Augustine. 30 Epic Blvd, St. Augustine, FL 32086. Open until 8:00 pm. 5.0 (5 reviews) •. Highly Rated. as soon as i walked in, was greeted and everyone was so nice. wish they were my primary as everyone was caring. you all rock!!!! AVAILABLE TIMES.

Avecina Medical, Middleburg Avecina Medical. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm; ... convenient medical care. In that manner, they are similar to an emergency room. The difference, however, is that ERs are meant to treat major, life-threatening injuries ...The NPI Number for Avecina Medical, Pa is 1578230231. The current location address for Avecina Medical, Pa is 1811 Blanding Blvd # 101, , Middleburg, Florida and the contact number is 904-778-9180 and fax number is 904-778-9740. The mailing address for Avecina Medical, Pa is 9580 Applecross Rd Ste 106, , Jacksonville, Florida - 32222-5843 ...Laceration Repair (medical glue, sutures staples) Wound Care; Superficial foreign body removal from the skin and ear canal; Ingrown toe treatment; ... Avecina strives to make individualized, quality healthcare affordable and accessible to Jacksonville, FL and the surrounding areas. Our urgent care clinic welcomes people of all ages.Avecina Medical in Gainesville, FL. Welcome to Avecina Medical where your health is our priority. We are focused on providing urgent care and disease prevention to people of all ages. We strive to make quality, individualized healthcare accessible and affordable to all.We're more than just healthcare providers; we're partners in your family's wellness. Avecina Medical is here with the care and expertise to keep you and your loved ones thriving in good health. Let's...Hospitals. Florida. Middleburg. Ascension St Vincent's Clay County is a medicare enrolled Acute Care Hospital in Middleburg, Florida. It is located at 1670 St Vincents Way, Middleburg, Florida 32068. You can reach out to the office of Ascension St Vincent's Clay County via phone at (904) 602-1000. The ownership type of Ascension St Vincent's ...

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Urgent care is a healthcare service focused on providing immediate, non-life-threatening medical attention. Urgent care centers treat conditions such as sprains, cuts, burns, and common illnesses and offer a range of services, including diagnostic and preventive care like immunizations and physicals.With an estimated 15,000 clinics in the U.S., urgent …Avecina Medical, Southside Blvd is an urgent care center in Jacksonville, located at 4160 Southside Blvd, #10. They are open 7 days a week, including today from 8:00AM to … Avecina Medical, Middleburg is an urgent care center in Middleburg, located at 1811 Blanding Blvd, 101. They are open 7 days a week, including today from 8:00AM to 5:00PM seeing walk-in patients with non-emergent healthcare conditions. At Avecina Medical Gainesville, we are dedicated to your health. We provide urgent care to Gainesville, Florida. We strive to provide affordable and accessible healthcare to all. This includes diseases, minor cuts and scrapes, bone fractures, and more. When it's urgent, it's Avecina. Urgent Care Services Gainesville.While we handle everything you would expect from your friendly neighborhood urgent care, we also do so much MORE. From EKGs and x-rays to burn treatment, laceration repair, blood tests, STD diagnosis...Overview. Most of the time cough, runny nose and common cold are caused by a viral infection. There is a variety of symptoms that include, sniffling and runny nose, sore throat, coughing and chest congestion.

Middleburg . 1811 Blanding Blvd, Suite 101 Middleburg, FL 32068. 904-406-0514. 904-406-0654You can also give us a call directly at: 888-284-4080 or email us: [email protected] . Our Latest Post Care Management Weekly News Update 5/01/24. HHS restores nondiscrimination protections, expands provisions to telehealth, AI. The Department of Health and Human Services... Read More . VA Solutions;Azalea Health. Primary Care 1955 US Highway 1 S, St Augustine, FL 32086. Open Thu 8:00 am - 5:00 pm. 904-829-2782. Get Directions. This location has been verified by the DOT Exam Locations staff.Avecina Medical was awarded Best Urgent Care facility in Jacksonville and their new office on Southside Blvd is a state of the art medical center, open 7 days a week with extended hours to take care of all of your urgent care needs without any appointments needed. Avecina treats a variety of conditions including injuries, illnesses, physicals ...Any student seeking admission in any medical or dental college shall mandatorily be required to have passed the MDCAT examination held by Pakistan Medical Commission. The passing marks for the MDCAT examination shall be 60%. All admissions to public and private medical colleges shall be concluded by or before 15thFebruary 2021 and classes shall ...Specialties: Avecina Medical is a multi-specialty practice with focus on urgent care and overall health of our patients. We offer walk-in urgent care treatments for simple, moderate and complext medical conditions along with appointment only treatment for weight loss and hormone replacement therapy. Established in 2008. Avecina Medical was started by Dr. Saman Soleymani and Dr. Dmitriy Model ...Avecina Medical - Normandy is located at 5915 Normandy Blvd in Jacksonville, Florida 32205. Avecina Medical - Normandy can be contacted via phone at 904-379-8085 for pricing, hours and directions. Contact Info. 904-379-8085; Questions & AnswersAvecina Medical, Pa a provider in 2020 Kingsley Ave Orange Park, Fl 32073. Phone: (904) 778-9180 Taxonomy code 261QU0200X.Book a visit at Avecina Medical, Gainesville in Gainesville, FL. Walk-in patients are welcome. Visit Solv to book online. ... Middleburg. 1811 Blanding Blvd 101, Middleburg, FL 32068. Loading availability. Avecina Medical. 52 mi. Oakleaf Town Center. 9580 Applecross Rd 106, Jacksonville, FL 32222.Our new St. Johns Location off of 210 is NOW OPEN!. Avecina Medical · Original audioGet more information for Avecina Medical - Julington Creek Center in Saint Johns, FL. See reviews, map, get the address, and find directions. Search MapQuest. Hotels. Food. Shopping. Coffee. Grocery. Gas. Avecina Medical - Julington Creek Center. Open until 5:00 PM. 51 reviews (904) 230-6988. Website.

Avecina Medical, Middleburg Avecina Medical. Urgent care. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm; ... A consultation with a healthcare provider to discuss your symptoms and medical history; Possible diagnostic tests (e.g., X-rays or lab tests), if needed;

Avecina Medical. Urgent care. Accepts kids. Open weekends. 2020 Kingsley Ave, Orange Park, FL 32073 2020 Kingsley Ave. Open until 5:00 pm. ... Avecina Medical, Middleburg Avecina Medical. Urgent care. Accepts kids. Open weekends. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 5:00 pm.Welcome To Avecina Medical, where your health is our priority. We focus on providing urgent care and disease prevention to people of all ages. We strive to make quality, individualized healthcare accessible and affordable to all.Avecina Medical is a thriving urgent care center established in 2005 with nine offices looking for a physician assistant or nurse practitioner for our Middleburg office. Candidates should have the following:-Unrestricted license to practice in Florida-Min. of 1yr experience as PA/ARNP treating patients in a family practice or urgent care centerAvecina Medical-Middleburg Clinic, 930 feet east; Popular Destinations in Florida. Discover Miami, Orlando, Walt Disney World and Tallahassee. Miami. Orlando. Walt Disney World. Tallahassee. Wherever you go, go with all your heart. - Confucius. Escape to a Random Place. Discover other destinations in the world.Avicenna Medical Center , 127, Ruth tailor Road, Borrowdale, Gunhill, Harare Tel:+263 242 783 098-9 ...Avecina Medical, Middleburg Avecina Medical. Urgent care. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm; ... Avecina Medical. Urgent care. 9580 Applecross Rd, Jacksonville, FL 32222 9580 Applecross Rd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm;Avecina Medical, Middleburg Avecina Medical. Urgent care. Accepts kids. Open weekends. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 8:00 pm. ... When your child needs urgent medical attention, finding a reliable pediatric urgent care center that is open now is paramount. Our providers specialize in children's ...View all providers that belong to Avecina Medical Pa. view all doctors . Ratings Overview. 0 reviews . Be first to leave a review Write a Review . Location. Avecina Medical Pa has 1 location. Primary Location . Avecina Medical Pa. 1633 Race Track Rd Ste 101. St. Johns, FL 32259. Tel: (904) 230-6988.AVECINA MEDICAL, PA: The name of the organization provider. If the provider is an organization, this is the legal business name. Provider First Line Business Mailing Address: 1811 BLANDING BLVD STE 101: ... MIDDLEBURG: The city name in the mailing address of the provider being identified.While we handle everything you would expect from your friendly neighborhood urgent care, we also do so much MORE. From EKGs and x-rays to burn treatment, laceration repair, blood tests, STD diagnosis...

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Laceration Repair (medical glue, sutures staples) Wound Care; Superficial foreign body removal from the skin and ear canal; Ingrown toe treatment; ... Avecina strives to make individualized, quality healthcare affordable and accessible to Jacksonville, FL and the surrounding areas. Our urgent care clinic welcomes people of all ages.Admission procedure of Avicenna International Medical University AIMI: Avicenna Medical Institute issues the admission letter in normally 3-5 working days and after admission confirmation letter students need to pay 300$ to the EaziLine International for the Invitation Visa letter by the Ministry of Foreign affairs of Kyrgyz Republic. Visa invitation letter by Foreign Ministry takes 20-30 days ...Find a same-day appointment for Cholesterol test in Middleburg. Top-rated local providers can get you in and out for your cholesterol screeningquickly. Book with Solv today!Welcome to Avecina Medical in St. Johns, Florida near County Road 210! Nestled in the heart of this vibrant community, our state-of-the-art medical facility is dedicated to providing top-notch healthcare services to residents and visitors alike. Conveniently located, we pride ourselves on offering a comprehensive range of medical specialties ...AVECINA MEDICAL, PA Complete NPI Record 1710758990 Clinic/Center - Urgent Care in Gainesville, FL. NPI Status: Active since January 16, 2024. ... MIDDLEBURG: The city name in the mailing address of the provider being identified. Provider Business Mailing Address State Name: FL:Explore CVS MinuteClinic at 906 BLANDING BLVD, ORANGE PARK, FL 32065. Find clinic driving directions, information, hours, and available walk in clinic services at 40% less the average cost of urgent care.Avecina Medical offers 3 types of COVID-19 tests: Rapid Antigen, Antibody and RT-PCR Testing. Visit us to schedule your test for Orange Park location. ... Avecina strives to make individualized, quality healthcare affordable and accessible to Jacksonville, FL and the surrounding areas. Our urgent care clinic welcomes people of all ages.Middleburg . 1811 Blanding Blvd, Suite 101 Middleburg, FL 32068. 904-406-0514. 904-406-0654Reema Zh recommends Avecina Medical (4160 Southside Blvd # 10, Jacksonville, FL). ·. August 19, 2021 ·. I always have such a wonderful experience at Avecina Medical. I can't say enough good things! The staff was so pleasant and immediately took me back to get tested. They where very careful about the whole screening process. ….

At Avecina Medical, we're ready to provide prompt, expert urgent care for those unexpected health concerns. With fast and effective treatment, we ensure you and your loved ones receive the care...Avicenna Medical Center , 127, Ruth tailor Road, Borrowdale, Gunhill, Harare Tel:+263 242 783 098-9 www.acicennaclinic.org www.acicennaclinic.orgGet more information for Avecina Medical in Jacksonville, FL. See reviews, map, get the address, and find directions.Avecina Medical. 9580 Applecross Rd, Jacksonville, FL 32222 9580 Applecross Rd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm; ... Avecina Medical, Middleburg Avecina Medical. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm;Avecina Medical Oakleaf Town Center. 9850 APPLECROSS RD STE 106 JACKSONVILLE, FL 32222. (904) 778-9180.Avecina Medical. Open until 8:00 PM. 31 reviews (904) 900-1717. Website. More. Directions Advertisement. 4160 Southside Blvd Ste 10 Jacksonville, FL 32216 Open until 8:00 PM. Hours. Sun 8:00 AM -5:00 PM Mon 8:00 AM -8 ...Read what people in Middleburg are saying about their experience with Avecina Medical-Middleburg at 1811 Blanding Blvd - hours, phone number, address and map.With three great locations, we're looking to be the Bold City's convenient urgent care option. Come to Avecina Medical to get your needs met better,...A complete solution to help you collaboratively perform medication reconciliation from ER/ED through admission and discharge. The MedRec Inpatient solution simplifies and improves medication reconciliation at admission and discharge, helping to minimize dangerous medication errors. The solution helps to drive better communication, safer care ...AVECINA MEDICAL. Nov 2005 - Present 18 years 3 months. ST JOHNS, FL. President, owner and CEO of multi-practice urgent care center. Avecina Medical was established in 2005 with goal of providing ... Avecina medical middleburg, That makes six offices after adding locations in Orange Park and Middleburg in November and on Normandy Boulevard in August. To keep the momentum going, Soleymani and …, Middleburg Area Facts. Middleburg has a Livability Score of 65 /100, which is considered good. Middleburg crime rates are 21% higher than the Florida average. Cost of living in Middleburg is 4% lower than the Florida average., Julington Creek. 1633 Race Track Rd, #101 St. Johns, FL 32259. 904-230-6988. 904-342-4028, At Avecina Medical, we understand that your time is valuable. This is why we strive to provide swift and efficient DOT physicals, so you can get back on the road as soon as possible. Additionally, we offer competitive rates for our services, ensuring that you receive premium healthcare without emptying your wallet. Don't wait to book your DOT ..., Looking for a more convienent way to see a doctor and recieve medical advice? At Avecina we offer Virtual visits through telemedicine, saving you the drive and the hassel. ... Hassel Free. Meet From Anywhere . Register For Virtual Visit Today! Avecina strives to make individualized, quality healthcare affordable and accessible to Jacksonville ..., Click here to request a demo. Founded by technology and physician leaders with decades of healthcare experience, Avicenna Medical Systems helps hospitals and providers in both the government and private sectors improve the safety and quality of patient care. Our software enables team-based care - making care management, medication ..., Medical Units & Departments. Plastic Surgery. Weight Loss Surgery. Hair Transplant. Ortopedic Surgery. Istanbul Avicenna International Hospital Plastic Surgery Center. ALMOND EYE SURGERY. ARM LIFT (BRACHIOPLASTY) BRAZILIAN BUTT LIFT (BBL), Admission procedure of Avicenna International Medical University AIMI: Avicenna Medical Institute issues the admission letter in normally 3-5 working days and after admission confirmation letter students need to pay 300$ to the EaziLine International for the Invitation Visa letter by the Ministry of Foreign affairs of Kyrgyz Republic. Visa invitation letter by Foreign Ministry takes 20-30 days ..., Avecina Medical, Pa is a provider established in Middleburg, Florida operating as a Clinic/center with a focus in urgent care . The NPI number of this provider is 1578230231 and was assigned on August 2021. The …, Avecina Medical, Middleburg Avecina Medical. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 8:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm; ... Avecina Medical. 9580 Applecross Rd, Jacksonville, FL 32222 9580 Applecross Rd. Open until 8:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm;, We always use him and nobody else, such as nurse practitioners, at the Family Medical Center in Middleburg. Helpful 0. Helpful 1. Thanks 0. Thanks 1. Love this 0. Love this 1. Oh no 0. Oh no 1. Elle B. Middleburg, FL. 39. 1. ... Avecina Medical - Julington Creek Center. 51. Urgent Care. Baptist Clay Medical Campus. 15. Medical Centers. Baptist ..., Healthcare Provider Details I. General information. NPI: 1578230231 Provider Name (Legal Business Name): AVECINA MEDICAL, PA Entity Type: Organization Gender: Sole Proprietor: . II. Dates (important events) Enumeration Date: 08/30/2021 Last Update Date: 08/30/2021 Certification Date: 08/30/2021 Deactivation Date: Reactivation Date: . III. …, SimX brings augmented reality to the medical field on TechCrunch Disrupt San Francisco '14 created by annaescher SimX brings augmented reality to the medical field on TechCrunch Di..., The current location address for Avecina Medical, Pa is 30 Epic Blvd Ste 100, , St Augustine, Florida and the contact number is 904-230-6988 and fax number is --. The mailing address for Avecina Medical, Pa is 1811 Blanding Blvd Ste 101, , Middleburg, Florida - 32068-4935 (mailing address contact number - --). Provider Profile Details:, Avecina Medical, Middleburg Avecina Medical. Urgent care. Accepts kids. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 8:00 pm. Mon 8:00 am ..., Avecina Medical, Middleburg Avecina Medical. Urgent care. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 8:00 pm. Mon 8:00 am - 8:00 pm; ... I'm So happy that I discovered Crescent Beach Care for my Healthcare! Dr. Jacob Dohogne is such a caring Doctor., 60 Middleburg $35,000 jobs available in Middleburg, FL on Indeed.com. Apply to Registered Nurse, Delivery Driver, Cardiovascular Technician and more!, While we handle everything you would expect from your friendly neighborhood urgent care, we also do so much MORE. From EKGs and x-rays to burn treatment, laceration repair, blood tests, STD diagnosis..., Family Medicine Of Evangelical Middleburg. 412 W Market St Middleburg, PA 17842. (570) 837-6163. OVERVIEW., Jan 19, 2015 · Extra Phones. Phone: (904) 342-4028 Phone: (904) 818-8762 Phone: (904) 438-3951 Brands botox, medicare, obagi, restylane, urgent care Payment method debit AKA. Soleymani, Saman, Md - Avecina Medical , Thyroid hormones, including Synthroid and other thyroid medications, should never be used for the purpose of losing weight or treating obesity. Synthroid is a common type of thyroi..., Get urinary tract infection (UTI) testing at urgent care centers and medical laboratories in Green Cove Springs, Florida. Prompt detection and treatment for UTIs., Avecina Medical. 2,443 likes · 7 talking about this · 978 were here. Avecina Medical, Avecina Medical, Middleburg Avecina Medical. Urgent care. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 5:00 pm. Mon 8:00 am - 8:00 pm;, Avecina Medical. Urgent care. 1633 Race Track Rd, Saint Johns, FL 32259 1633 Race Track Rd. Open until 8:00 pm. Mon 8:00 am - 8:00 pm; Tue 8:00 am - 8:00 pm; ... Avecina Medical, Middleburg Avecina Medical. Urgent care. 1811 Blanding Blvd, Middleburg, FL 32068 1811 Blanding Blvd. Open until 8:00 pm. Mon 8:00 am - 8:00 pm;, In medical terms, the letter “C” with a line over it means “with,” according to Taber’s Online. Abbreviations are commonly used to communicate medical information in prescriptions ..., Address. Barkerend Health Centre. Barkerend Road. Bradford. West Yorkshire. BD3 8QH. Get directions (opens in Google Maps), Laceration Repair (medical glue, sutures staples) Wound Care; Superficial foreign body removal from the skin and ear canal; Ingrown toe treatment; ... Avecina strives to make individualized, quality healthcare affordable and accessible to Jacksonville, FL and the surrounding areas. Our urgent care clinic welcomes people of all ages., Book online at Avecina Medical, Julington Creek, one of Saint Johns's best urgent care locations at 1633 Race Track Rd, Saint Johns, FL, 32259. Walk-in patients with non-emergent healthcare conditions welcome. For more information, call Avecina Medical, Julington Creek at (904) 230‑6988., Oakleaf Town Center. 9580 Applecross Rd, #106 Jacksonville, FL 32222. 904-778-9180. 904-778-9740, Bumps, bruises, breaks, or burns? We're your one stop shop for all concerns! Give us a call at (904)-900-1717 to schedule your visit!, Enter Left Stage Avicenna. Named after the pioneering polymath in medicine, Avicenna is my attempt at a "toy" DICOM viewer built entirely within the Apple ecosystem with the help of Swift and Metal. The use of Swift offers type safety, performance, and modern syntax, making the development process smoother and more efficient., NPI: 1578230231 Provider Name (Legal Business Name): AVECINA MEDICAL, PA Entity Type: Organization Gender: Sole Proprietor: II. Dates (important events) Enumeration Date: 08/30/2021 Last Update Date: 08/30/2021 Certification Date: 08/30/2021 Deactivation Date: Reactivation Date: III. Provider practice location address