MEDICARE: AMANA MEDICAL CENTER, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME87949	FL
2	261QU0200X	Urgent Care Clinic/Center	ME87949	FL
3	208D00000X	General Practice Physician	ME87949	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	GF041A	OTHER	FL	MEDICARE GROUP PROVIDER NO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0033B	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1891051249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANA MEDICAL CENTER, P.A.

Provider Business Mailing Address
First Line	:	220 ALAFAYA WOODS BLVD STE 1000
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-6212
Country	:	US
Telephone Number	:	321-765-7065
Fax Number	:	321-765-7061

Provider Business Practice Location Address
First Line	:	220 ALAFAYA WOODS BLVD STE 1000
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-6212
Country	:	US
Telephone Number	:	321-765-7065
Fax Number	:	321-765-7061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMAL A ABUSUWA
Credential	:	MD
Telephone Number	:	321-765-7065

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	04/02/2025

Similar Medicare Providers

1053310342 — DR. JAMAL A ABUSUWA MD
Practice Location Address:

220 ALAFAYA WOODS BLVD STE 1000
OVIEDO, FL
32765-6212

Practice Phone: 321-765-7065
Practice Fax: 321-765-7061

1164745063 — MS. BARBARA J KELLY ARNP
Practice Location Address:

220 ALAFAYA WOODS BLVD STE 1000
OVIEDO, FL
32765-6212

Practice Phone: 407-542-7335
Practice Fax: 407-542-7338

1194120410 — ANISA ANDONI PA-C
Practice Location Address:

220 ALAFAYA WOODS BLVD , STE 1000
OVIEDO, FL
32765-6212

Practice Phone: 407-542-7335
Practice Fax:

1740732627 — MS. YUSRAH HAITHAM AL-DEEK PA-C
Practice Location Address:

220 ALAFAYA WOODS BLVD
OVIEDO, FL
32765-6212

Practice Phone: 407-542-7335
Practice Fax:

1245773068 — DAMANA PHYSICAL THERAPY CENTER, P.A
Practice Location Address:

220 ALAFAYA WOODS BLVD , SUITE 1002
OVIEDO, FL
32765-6212

Practice Phone: 407-580-4226
Practice Fax:

1922513696 — ALICIA BARROW PA-C
Practice Location Address:

220 ALAFAYA WOODS BLVD
OVIEDO, FL
32765-6212

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Practice Fax:

Directions to “AMANA MEDICAL CENTER, P.A. ” Practice Location

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