Fana-Souchet, Cruz Martina

Fana-Souchet, Cruz Martina is an individual health care provider with primary practice located at 125 Patricia Ave Ste B Ama Medical Group, Dunedin FL 34698-8100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fana-Souchet, Cruz Martina can be contacted via phone (727) 331-8740.

Contact Information

Primary practice address
125 Patricia Ave Ste B Ama Medical Group Dunedin FL 34698-8100
Phone: (727) 331-8740
Fax: (727) 331-8744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME96750 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96750 Florida

Profile Details

NPI number 1811050602
LBN Legal business name Fana-Souchet, Cruz Martina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811050602 NPPES
Florida MEDICAID 000875300

Popular Providers