| Fana Medical Group Port Richey Llc | |
|
7505 Rottingham Rd Port Richey FL 34668-2648 | |
| (727) 849-2600 | |
| (727) 847-7703 |
| Full Name | Fana Medical Group Port Richey Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7505 Rottingham Rd, Port Richey, Florida |
| Authorized Official Name and Position | Miguel A Fana (PRESIDENT) |
| Authorized Official Contact | 8133827898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fana Medical Group Port Richey Llc 5537 Gulf Dr New Port Richey FL 34652-4021 Ph: (727) 849-2600 | Fana Medical Group Port Richey Llc 7505 Rottingham Rd Port Richey FL 34668-2648 Ph: (727) 849-2600 |
| NPI Number | 1356689111 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356689111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80639 (Florida) | Primary |
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