Organization Active NPI

Ama Medical Group LLC

  • Non-Pharmacy Dispensing Site
  • Dunedin, FL
National Provider Identifier
1194431262
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
AMA MEDICAL GROUP LLC
Practice address
125 Patricia Ave Ste B
Dunedin, FL 34698-8100
Phone
(727) 331-8740
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antonio Souchet
Title
VP
Phone
(727) 331-8740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

125 Patricia Ave Ste B
Dunedin, FL 34698-8100

Mailing address

125 Patricia Ave Ste B
Dunedin, FL 34698-8100

National Provider Directory

National Provider Directory
Tax ID family
Ama Medical Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 Patricia Ave
Ste B
Dunedin, FL 34698
Phone (727) 331-8740

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1194431262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATRICIA AVE STE B",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATRICIA AVE STE B",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988100",
            "telephone_number": "727-331-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SOUCHET",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "727-331-8740"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.