# AMA MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMA MEDICAL GROUP LLC
- **Other names:** AMA MEDICAL GROUP OF LARGO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629704176
- **Legal business name:** AMA MEDICAL GROUP LLC
- **Authorized official:** CRUZ MARTINA FANA-SOUCHET MD (PRESIDENT)
- **Authorized official phone:** (727) 331-8740

## Contact information

- **Practice address:** 1280 MISSOURI AVE N, LARGO, FL 33770-1849
- **Practice address phone:** (727) 331-8740
- **Mailing address:** 125 PATRICIA AVE, DUNEDIN, FL 34698-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 12/05/2022