Individual
MRS. CHRISTINA ATILANIE AMBROISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1044 E BRANDON BLVD STE 2&3, BRANDON, FL 33511-5509
(813) 403-4423
(813) 433-3124
Mailing address
8416 TIDAL BREEZE DR, RIVERVIEW, FL 33569-4722
(813) 403-4423
(813) 433-3124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG04190022
FL
Other
Enumeration date
05/15/2019
Last updated
03/05/2021
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