Organization
FANA MEDICAL GROUP, TAMPA RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL ANTONIO FANA JR. MD (MEDICAL DIRECTOR / OWNER)
(727) 781-5811
Entity
Organization
Contact information
Practice address
2626 TAMPA ROAD, SUITE 202, PALM HARBOR, FL 34684
(727) 781-5811
(727) 781-5613
Mailing address
2626 TAMPA ROAD, SUITE #202, PALM HARBOR, FL 34684
(727) 781-5811
(727) 781-5613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259988100
—
FL
Enumeration date
10/19/2012
Last updated
10/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us