Individual
ADRIAN KYLE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9679 LAKE NONA VILLAGE PL, ORLANDO, FL 32827-7310
(407) 277-9242
(407) 636-7805
Mailing address
9679 LAKE NONA VILLAGE PL, ORLANDO, FL 32827-7310
(407) 277-9242
(407) 636-7805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME164174
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119191900
—
FL
Enumeration date
05/21/2019
Last updated
08/15/2023
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