Ambrose, Meghan

Ambrose, Meghan is an sole proprietor health care provider with primary practice located at 303 Vista Lagoon Ct Unit C-1 , Ponte Vedra Beach FL 32082-5602. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ambrose, Meghan can be contacted via phone (858) 717-4803.

Contact Information

Primary practice address
303 Vista Lagoon Ct Unit C-1 Ponte Vedra Beach FL 32082-5602
Phone: (858) 717-4803
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS1593 Florida

Profile Details

NPI number 1134799471
LBN Legal business name Ambrose, Meghan
Credentials MS, LSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2021
Last updated Mar 28th, 2024 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134799471 NPPES
Florida MEDICAID 110971200

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