# AMBASSADOR ANCILLARY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONSULATE HEALTH CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619039575
- **Legal business name:** CONSULATE HEALTH CARE, LLC
- **Authorized official:** JEFF JELLERSON (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (407) 571-1550

## Contact information

- **Practice address:** 800 CONCOURSE PKWY S, MAITLAND, FL 32751-6148
- **Practice address phone:** (407) 215-9820
- **Practice address fax:** (407) 571-7099
- **Mailing address:** 800 CONCOURSE PKWY S, MAITLAND, FL 32751-6148
- **Mailing address phone:** (407) 215-9820
- **Mailing address fax:** (407) 571-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 07/11/2013