| Ama Medical Group Llc | |
|
125 Patricia Ave Units B & D Dunedin FL 34698-8100 | |
| (727) 331-8740 | |
| (727) 331-8744 |
| Full Name | Ama Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Patricia Ave, Dunedin, Florida |
| Authorized Official Name and Position | Cruz Martina Fana-souchet (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7273318740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ama Medical Group Llc Po Box 306 Palm Harbor FL 34682-0306 Ph: (727) 331-8740 | Ama Medical Group Llc 125 Patricia Ave Units B & D Dunedin FL 34698-8100 Ph: (727) 331-8740 |
| NPI Number | 1174834717 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 11/06/2012 |
| Medicare PECOS PAC ID | 8820270895 |
|---|---|
| Medicare Enrollment ID | O20110311000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174834717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 96750 (Florida) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | ME 96750 (Florida) | Secondary |
| Provider Name | Cruz Martina Fana Souchet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811050602 PECOS PAC ID: 5092809723 Enrollment ID: I20070925000601 |
| Provider Name | Martin Dones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942252804 PECOS PAC ID: 2860569233 Enrollment ID: I20080926000386 |
| Provider Name | Andrew Shakib Sakla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861827214 PECOS PAC ID: 8729204284 Enrollment ID: I20140719000014 |
| Provider Name | Karla Celleri-rew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508146408 PECOS PAC ID: 1254641459 Enrollment ID: I20151029002364 |
| Provider Name | Nina Millet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598111825 PECOS PAC ID: 6002240884 Enrollment ID: I20221020002253 |
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