Individual
DR. JAGDISH C AMBWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 W STATE ROAD 434 STE 1010, LONGWOOD, FL 32750
(407) 644-9970
(407) 644-6926
Mailing address
1400 W STATE ROAD 434 STE 1010, LONGWOOD, FL 32750-3817
(407) 644-9970
(407) 644-6926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME108141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003038200
—
FL
Enumeration date
08/22/2010
Last updated
04/24/2020
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