Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHAN AMBROSE
Active Sole ProprietorSTEPHAN AMBROSE is a Physician Assistant healthcare provider located in MIRAMAR, Florida. NPI 1356047104 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MIRAMAR, FL
Registration Details
- NPI Number
- 1356047104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2023 (3.5637273664285 yrs)
- Last Updated
- Oct 9, 2025
- Licenses
-
9120439 (FL)0110011203 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5024 SW 155TH TERMIRAMAR, FL, 330275644Browse FL providers · Browse ZIP 33027
- Phone
- 7542044701
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Psychiatry
Other Physician Assistant Providers in MIRAMAR, FL
| Name | Credential | NPI |
|---|---|---|
| AMY GREENBERG | PA-C | 1326071986 |
| LIANE MARIE LINDO | PA-C,, MMS | 1477661072 |
| MRS. TRACY ANN KELLY | PA | 1194949388 |
| SUSAN ALBERTINI | MMS, PA-C | 1518184100 |
| DR. DONALD COLES | D.O.M., A.P., PA-C | 1114128568 |
| MR. JOSE A DIAZ | PHYSICIAN ASSISTANT | 1760678510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.