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Contact Information

ELIZABETH M AMBROSE
1223 GATEWAY DR
MELBOURNE, FL32901-2607
 Phone: 321-312-3456
 Fax: 321-676-9196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH M AMBROSE · (Female)

NPI Number 1043509300
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2011
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN9217891
  • FL Other ARNP9217891 FLORIDA LICENSE
  • FL Other EW744X MEDICARE
Hospital affiliation(s)
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
  • PALM BAY HOSPITAL - (Acute Care)
    1425 MALABAR RD, NE
    PALM BAY, FL 32907
  • VIERA HOSPITAL - (Acute Care)
    8745 N WICKHAM RD
    MELBOURNE, FL 32940
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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