NPI
Stephan Ambrose
NPI 1356047104
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2023-02-03
- Last updated
- 2025-10-09
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Specialties
Licenses
- License FL
- 9120439
- License VA
- 0110011203
Location
- Practice location
- 5024 SW 155th Ter
- City
- Miramar FL
- Postal code
- 33027-5644
- Phone
- (754) 204-4701
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Miramar, FL. 3,879 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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