Cruz Martina Fana-souchet MD

NPI 1811050602 - Internal Medicine - 207RI0200X

NPI Details
NPI 1811050602
Gender Female
Enumeration Date 12/19/2006
Last Updated 03/30/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
125 PATRICIA AVE STE B
AMA MEDICAL GROUP
DUNEDIN FL, 34698-8100, US
Phone (727) 331-8740
Fax (727) 331-8744
Business Location
125 PATRICIA AVE STE B
AMA MEDICAL GROUP
DUNEDIN FL, 34698-8100, US
Phone (727) 331-8740
Fax (727) 331-8744
Toxanomy
Taxonomy Code 207RI0200X
License State Florida
License Number ME96750
Remove 1811050602 NPI Number
 

According to our database, Dr. Cruz Martina Fana-souchet MD NPI is 1811050602, taxonomy code is 207RI0200X and license number is ME96750, license state is located at Florida. Cruz Martina Fana-souchet MD physically located at 125 Patricia Ave Ste B, Dunedin FL, 34698-8100. NPI Number Cruz Martina Fana-souchet MD has the Individual type.

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1811050602 NPI number is provided on an as is basis without warranty of any kind. 1811050602 is maintained by the National Plan & Provider Enumeration System. The contents of Cruz Martina Fana-souchet MD are for informational purposes only.