Ama Medical Group LLC
NPI 1174834717ActiveOrganization· Internal Medicine· Dunedin, FL
Internal Medicine in Dunedin, Florida, registered in NPPES in June 2010. The authorized official on file is Cruz Martina Fana-Souchet, M.D., President/Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174834717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2010 |
| Last updated in NPPES | Nov 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME 96750 | FL |
| Internal Medicine, Infectious Disease | 207RI0200X | ME 96750 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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