Ambroise, Lerius

Ambroise, Lerius is an sole proprietor health care provider with primary practice located at 2401 Amberjack Ct , Navarre FL 32566-2563. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Ambroise, Lerius can be contacted via phone (850) 543-9884.

Contact Information

Primary practice address
2401 Amberjack Ct Navarre FL 32566-2563
Phone: (850) 543-9884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1679236327
LBN Legal business name Ambroise, Lerius
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2021
Last updated Oct 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679236327 NPPES
Florida MEDICAID 100480400
Florida Other 100480400

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