Individual
MISS KIM M AMBROGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 LAKE BAYSHORE DR UNIT 102, BRADENTON, FL 34205-9000
(941) 447-5083
(941) 756-3718
Mailing address
3600 LAKE BAYSHORE DR UNIT 102, BRADENTON, FL 34205-9000
(941) 447-5083
(941) 756-3718
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
229839
FL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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