Organization
AMA MEDICAL GROUP LLC
Active
Parent organization
AMA MEDICAL GROUP LLC
Other names
AMA MEDICAL GROUP OF LARGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMA MEDICAL GROUP LLC
Authorized official
CRUZ MARTINA FANA-SOUCHET MD (PRESIDENT)
(727) 331-8740
Entity
Organization
Contact information
Practice address
1280 MISSOURI AVE N, LARGO, FL 33770-1849
(727) 331-8740
Mailing address
125 PATRICIA AVE, DUNEDIN, FL 34698-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
12/05/2022
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