Individual
JUDITH AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 N MAIN STREET, SUITE B, SAINT CLOUD, FL 34744
(407) 572-7895
Mailing address
273 PINE VALLEY RD APT A, SAINT CLOUD, FL 34769-1488
(407) 572-7895
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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