Fana Medical Group Pa | |
5798 38th Avenue North Saint Petersburg FL 33710-1926 | |
(727) 384-0192 | |
(727) 384-1500 |
Full Name | Fana Medical Group Pa |
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Speciality | Internal Medicine |
Location | 5798 38th Avenue North, Saint Petersburg, Florida |
Authorized Official Name and Position | Miguel Antonio Fana (MEDICAL DIRECTOR & OWNER) |
Authorized Official Contact | 7273840192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fana Medical Group Pa 5798 38th Avenue North Saint Petersburg FL 33710-1926 Ph: (727) 384-0192 | Fana Medical Group Pa 5798 38th Avenue North Saint Petersburg FL 33710-1926 Ph: (727) 384-0192 |
NPI Number | 1801865357 |
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Provider Enumeration Date | 03/16/2006 |
Last Update Date | 07/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801865357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME80639 (Florida) | Primary |
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