Ambrose, Stephan

Ambrose, Stephan is an sole proprietor health care provider with primary practice located at 5024 Sw 155Th Ter , Miramar FL 33027-5644. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ambrose, Stephan can be contacted via phone (754) 204-4701.

Contact Information

Primary practice address
5024 Sw 155Th Ter Miramar FL 33027-5644
Phone: (754) 204-4701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9120439 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0110011203 Virginia

Profile Details

NPI number 1356047104
LBN Legal business name Ambrose, Stephan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2023
Last updated Oct 9th, 2025 - about last year

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.

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