Ambwani, Jagdish C

Ambwani, Jagdish C is an individual health care provider with primary practice located at 1400 W State Road 434 Ste 1010 , Longwood FL 32750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ambwani, Jagdish C can be contacted via phone (407) 644-9970.

Contact Information

Primary practice address
1400 W State Road 434 Ste 1010 Longwood FL 32750
Phone: (407) 644-9970
Fax: (407) 644-6926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME108141 Florida

Profile Details

NPI number 1851607394
LBN Legal business name Ambwani, Jagdish C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2010
Last updated Apr 24th, 2020 - about 5 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 1851607394 NPPES
Florida MEDICAID 003038200

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