Fana Medical Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME80639 Issued in FL

Legal business name

FANA MEDICAL GROUP PA

Practice address

5798 38TH Avenue North
Saint Petersburg, FL 33710-1926

Phone

(727) 384-0192

Fax

(727) 384-1500

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Miguel Antonio Fana, M.D.

Title

Medical Director & Owner

Phone

(727) 384-0192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Horst Herman Blumberg, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1750455036
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1801865357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5798 38TH AVENUE NORTH",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101926",
            "telephone_number": "727-384-0192",
            "fax_number": "727-384-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 38TH AVENUE NORTH",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101926",
            "telephone_number": "727-384-0192",
            "fax_number": "727-384-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANA MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "FANA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR & OWNER",
        "authorized_official_telephone_number": "727-384-0192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Service Centers, Inc.
• Family Soaring
• Miguel Antonio Fana Jr., M.D.
• Jill M Fandrich, PHARM D
• Carina Farag
• Abdeen Rihan Farah Musa, MBBS
• Farese Physical Therapy Center, Inc

• Internal Medicine Physician in Saint Petersburg, FL
• Providers in Saint 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 Jul 26, 2013; 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.