# AMANA MEDICAL CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMANA MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891051249
- **Authorized official:** DR. JAMAL A ABUSUWA MD (PRESIDENT)
- **Authorized official phone:** (321) 765-7065

## Contact information

- **Practice address:** 220 ALAFAYA WOODS BLVD STE 1000, OVIEDO, FL 32765-6212
- **Practice address phone:** (321) 765-7065
- **Practice address fax:** (321) 765-7061
- **Mailing address:** 220 ALAFAYA WOODS BLVD STE 1000, OVIEDO, FL 32765-6212
- **Mailing address phone:** (321) 765-7065
- **Mailing address fax:** (321) 765-7061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME87949 | FL | — |
| 208D00000X | General Practice Physician | ME87949 | FL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | ME87949 | FL | — |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0033B | BCBS | FL |
| 05 | — | 023370100 | — | FL |
| 01 | — | GF041A | MEDICARE GROUP PROVIDER NO | FL |