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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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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