Individual
DR. AMBROSE JOHN JOSEPH CHAZHIKATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 S TAMPANIA AVE, TAMPA, FL 33609-4143
(813) 844-6770
(813) 844-6771
Mailing address
508 S HABANA AVE, STE 300, TAMPA, FL 33609-4144
(813) 877-6770
(813) 877-6771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME112619
FL
Other
Enumeration date
06/26/2009
Last updated
09/26/2019
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