Individual
MR. ALAN W AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8066 124TH ST, SEMINOLE, FL 33772-4419
(215) 346-6452
Mailing address
8066 124TH ST, SEMINOLE, FL 33772-4419
(215) 346-6452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RN342910L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9312316
FL
Other
Enumeration date
06/06/2006
Last updated
05/05/2023
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