Ama Medical Group LLC

NPI #1629704176 in Largo, Florida

Provider Information

NPI Number: 1629704176
Entity Type: Organization
Organization Name: Ama Medical Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AMA MEDICAL GROUP LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 27, 2022
Last Updated: Dec 5, 2022

Practice Location

Address: 1280 MISSOURI AVE N
City: Largo
State: Florida
ZIP Code: 33770-1849
Phone: (727) 331-8740

Authorized Official

Name: CRUZ MARTINA FANA-SOUCHET, MD
Title: PRESIDENT
Phone: (727) 331-8740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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