Active NPI
Ama Medical Group LLC
- Internal Medicine Physician
- Dunedin, FL
National Provider Identifier
1174834717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 96750
- Legal business name
- AMA MEDICAL GROUP LLC
- Practice address
- 125 Patricia Ave
Units B & D
Dunedin, FL 34698-8100 - Phone
- (727) 331-8740
- Fax
- (727) 331-8744
- NPI assigned
- Jun 29, 2010
- Last updated
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cruz Martina Fana-Souchet, M.D.
- Title
- President/Medical Director
- Phone
- (727) 331-8740
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 96750 | FL | Primary |
| Infectious Disease Physician | 207RI0200X | ME 96750 | FL |
Addresses
Primary practice location
125 Patricia Ave
Units B & D
Dunedin, FL 34698-8100
Mailing address
PO Box 306
Palm Harbor, FL 34682-0306
Phone (727) 331-8740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Dunedin, FL
- NPI 1811050602
-
- Family Medicine Physician
- Largo, FL
- NPI 1598111825
-
- Family Medicine Physician
- Dunedin, FL
- NPI 1730497447
-
- General Practice Physician
- Largo, FL
- NPI 1508146408
-
- Internal Medicine Physician
- Dunedin, FL
- NPI 1942252804
-
- Internal Medicine Physician
- Odessa, FL
- NPI 1861827214
-
- Medical Physician Assistant
- Dunedin, FL
- NPI 1730507674
-
- Medical Physician Assistant
- Dunedin, FL
- NPI 1326587163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1174834717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346820306",
"telephone_number": "727-331-8740",
"fax_number": "727-331-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATRICIA AVE",
"address_2": "UNITS B & D",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346988100",
"telephone_number": "727-331-8740",
"fax_number": "727-331-8744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMA MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-29",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "FANA-SOUCHET",
"authorized_official_first_name": "CRUZ",
"authorized_official_middle_name": "MARTINA",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "727-331-8740",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 96750",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME 96750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
- Carissa Alinat, ARNP
- All About ABA Inc
- All Services Anesthesia LLC
- Allan W. Rothschild, D.P.M., P.a.
- Allan W. Rothschild, D.P.M., P.a.
- Ama Medical Group LLC
- Ama Network Partners LLC (AMA Network Partners)
- Amato Management LLC (The Medicine Shoppe)
- Amato Management LLC (Medicine Shoppe of Dunedin)
- American Current Care P.a . (Concentra Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.