Fana Medical Group, Tampa Rd Llc | |
2626 Tampa Road, Suite 202 Palm Harbor FL 34684 | |
(727) 781-5811 | |
(727) 781-5613 |
Full Name | Fana Medical Group, Tampa Rd Llc |
---|---|
Speciality | Internal Medicine |
Location | 2626 Tampa Road, Suite 202, Palm Harbor, Florida |
Authorized Official Name and Position | Miguel Antonio Fana (MEDICAL DIRECTOR / OWNER) |
Authorized Official Contact | 7277815811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fana Medical Group, Tampa Rd Llc 2626 Tampa Road, Suite #202 Palm Harbor FL 34684 Ph: (727) 781-5811 | Fana Medical Group, Tampa Rd Llc 2626 Tampa Road, Suite 202 Palm Harbor FL 34684 Ph: (727) 781-5811 |
NPI Number | 1265785869 |
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Provider Enumeration Date | 10/19/2012 |
Last Update Date | 10/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265785869 | NPI | - | NPPES |
259988100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME80639 (Florida) | Primary |
Health Plus Advantage Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3820 Tampa Rd Ste 202, Palm Harbor, FL 34684 Phone: 727-785-4540 | |
Adventhealth Primary Care Plus At Walgreens - Palm Harbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33670 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 844-397-0018 | |
Polmed Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3890 Tampa Rd Ste 404, Palm Harbor, FL 34684 Phone: 727-216-0505 Fax: 727-789-8261 | |
Jay Mermelstein Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3890 Tampa Rd, Suite 303, Palm Harbor, FL 34684 Phone: 727-786-1747 Fax: 727-789-2961 | |
Square 1 Clinics, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Nebraska Ave, Palm Harbor, FL 34683 Phone: 727-295-1000 | |
Palm Harbor Internal Medicine And Pediatrics, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3890 Tampa Rd, Suite 101, Palm Harbor, FL 34684 Phone: 727-789-5811 Fax: 727-786-8417 | |
Pinellas Nursing Home Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2595 Tampa Rd Ste D, Palm Harbor, FL 34684 Phone: 727-773-8884 Fax: 727-784-5449 |