Miguel Antonio Fana Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME80639 Issued in FL

Practice address

5798 38TH Ave N
St Petersburg, FL 33710-1926

Phone

(727) 384-0192

Fax

(727) 384-1500

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: miguel.fana@ahcpllc.eclinicaldirectplus.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Park Boulevard Opco LLC

  • Skilled Nursing Facility
  • Seminole, FL
  • NPI 1780363952

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Health Care Physicians LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1245529742

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Fana Medical Group, Tampa Rd LLC

  • Internal Medicine Physician
  • Palm Harbor, FL
  • NPI 1265785869
  NPD Authorized official
• Optumcare Florida, LLC

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1659884294
  NPD (past)
• Unity Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1720324627
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1417926833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101926",
            "telephone_number": "727-384-0192",
            "fax_number": "727-384-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Tampa Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843110",
            "country_code": "US",
            "telephone_number": "727-781-5811",
            "fax_number": "727-781-5613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13220 Belcher Rd S Unit 15",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337731678",
            "country_code": "US",
            "telephone_number": "727-469-7920",
            "fax_number": "727-293-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 7th Ave N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337051348",
            "country_code": "US",
            "telephone_number": "727-894-6703",
            "fax_number": "727-894-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 76th Ave",
            "address_purpose": "LOCATION",
            "city": "St Pete Beach",
            "state": "FL",
            "postal_code": "337061802",
            "country_code": "US",
            "telephone_number": "727-620-0010",
            "fax_number": "727-894-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANA",
        "first_name": "MIGUEL",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259988100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Practice and Injury Center Inc
• Family Service Centers, Inc.
• Family Service Centers, Inc.
• Family Soaring
• Fana Medical Group PA
• Jill M Fandrich, PHARM D
• Carina Farag
• Abdeen Rihan Farah Musa, MBBS
• Farese Physical Therapy Center, Inc
• Farese Physical Therapy Center, Inc.

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.