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Individual
STEPHAN AMBROSE
Active
Individual
STEPHAN AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0110011203
VA
363A00000X
Physician Assistant
Primary
9120439
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2023
Last updated
10/09/2025
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