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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134799471 | NPPES |
| Florida | MEDICAID | 110971200 |
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