AMA MEDICAL GROUP LLC
NPI 1174223416
Non-Pharmacy Dispensing Site in Largo, FL

Active since March 06, 2023CLIA 10D2260903 · Waiver
1280 MISSOURI AVE N, LARGO, FL 33770(952) 653-2525(952) 653-2540 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ama Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMA MEDICAL GROUP LLC (NPI 1174223416) is a healthcare organization registered as a non-pharmacy dispensing site in Largo, Florida and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Antonio Souchet, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1174223416
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameAMA MEDICAL GROUP LLC
Location Address1280 MISSOURI AVE NLargo, FL 33770-1849
Mailing Address1280 Missouri Ave NLargo, FL 33770-1849 · (952) 653-2525 · Fax (952) 653-2540
Fax(952) 653-2540
Organization SubpartNo
Authorized OfficialAntonio SouchetPractice Manager · (727) 331-8740
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1174223416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1280 MISSOURI AVE N, Largo, FL 33770

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2260903

Ama Medical Group · Largo, FL
Active · expires May 23, 2028
CLIA Number10D2260903
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorCruz Fana-Souchet
Laboratory Phone(727) 331-8740
Laboratory LocationAma Medical Group1280 Missouri Avenue, Largo, FL 33770
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1280 MISSOURI AVE N
LARGO, FL 33770
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1280 MISSOURI AVE N
LARGO, FL 33770
Internal Medicine
1280 MISSOURI AVE N
LARGO, FL 33770
Durable Medical Equipment & Medical Supplies
1280 MISSOURI AVE N
LARGO, FL 33770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ama Medical Group LLC's NPI number?

The NPI number for Ama Medical Group LLC is 1174223416. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Ama Medical Group LLC located?

Ama Medical Group LLC is located at 1280 Missouri Ave N, Largo, FL 33770. The listed phone number is (952) 653-2525.

What is Ama Medical Group LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Ama Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2260903) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ama Medical Group LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.