Fana Medical Group Pa

NPI 1801865357 - Internal Medicine - 207R00000X

NPI Details
NPI 1801865357
Enumeration Date 03/16/2006
Last Updated 07/26/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIGUEL ANTONIO MIGUEL
Position MEDICAL DIRECTOR & OWNER
Phone (727) 384-0192
Fax (727) 384-1500
Practice Location
5798 38TH AVENUE NORTH
SAINT PETERSBURG FL, 33710-1926, US
Phone (727) 384-0192
Fax (727) 384-1500
Business Location
5798 38TH AVENUE NORTH
SAINT PETERSBURG FL, 33710-1926, US
Phone (727) 384-0192
Fax (727) 384-1500
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME80639
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According to our database, Fana Medical Group Pa NPI is 1801865357, taxonomy code is 207R00000X and license number is ME80639, license state is located at Florida. Fana Medical Group Pa physically located at 5798 38th Avenue North, Saint Petersburg FL, 33710-1926. NPI Number 1033115704 has the healthcare provider type.

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1801865357 NPI number is provided on an as is basis without warranty of any kind. 1801865357 is maintained by the National Plan & Provider Enumeration System. The contents of Fana Medical Group Pa are for informational purposes only.