Ambrose, Mahogany Jervon
Ambrose, Mahogany Jervon is an individual health care provider with primary practice located at 10920 Mckinley Dr , Tampa FL 33612-6471. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ambrose, Mahogany Jervon can be contacted via phone (813) 745-8535.Contact Information
Primary practice address
10920 Mckinley Dr
Tampa FL 33612-6471
Phone: (813) 745-8535
Fax: (813) 449-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 3377 | Virgin Islands |
Profile Details
| NPI number | 1316300940 |
|---|---|
| LBN Legal business name | Ambrose, Mahogany Jervon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Jan 15th, 2024 - about 8 months 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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