Stephan Ambrose

NPI #1356047104 in Miramar, Florida

Provider Information

NPI Number
1356047104
Entity Type
Individual
Name
Stephan Ambrose
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Feb 3, 2023
Last Updated
Oct 9, 2025

Practice Location

Address
5024 SW 155TH TER
State
Florida
ZIP Code
33027-5644
Phone
(754) 204-4701

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Student in an Organized Health Care Education/Training Program
Psychiatry & Neurology - PsychiatryPsychiatry

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