Ama Medical Group LLC

NPI #1174834717 in Dunedin, Florida

Provider Information

NPI Number: 1174834717
Entity Type: Organization
Organization Name: Ama Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 29, 2010
Last Updated: Nov 6, 2012

Practice Location

Address: 125 PATRICIA AVE
Address 2: UNITS B & D
City: Dunedin
State: Florida
ZIP Code: 34698-8100
Phone: (727) 331-8740

Authorized Official

Name: DR. CRUZ MARTINA FANA-SOUCHET, M.D.
Title: PRESIDENT/MEDICAL DIRECTOR
Phone: (727) 331-8740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Internal Medicine	207R00000X	Primary

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