Individual
DR. CRUZ MARTINA FANA-SOUCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 PATRICIA AVE STE B, AMA MEDICAL GROUP, DUNEDIN, FL 34698-8100
(727) 331-8740
(727) 331-8744
Mailing address
125 PATRICIA AVE STE B, AMA MEDICAL GROUP, DUNEDIN, FL 34698-8100
(727) 331-8740
(727) 331-8744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME96750
FL
207RI0200X
Infectious Disease Physician
ME96750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875300
—
FL
Enumeration date
12/19/2006
Last updated
03/30/2011
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