Individual provider · Type 1 NPI
Stephan Ambrose
Physician Assistant · Miramar, FL
Practice location
5024 SW 155th Ter
Miramar, FL 33027-5644
Other practice locations
- 2275 Health Campus Dr Ste 1, Rockingham, VA 22801-8809 · (540) 689-4707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 9120439 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatry Physician | 2084P0800X | 0110011203 (VA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1356047104
Stephan Ambrose's National Provider Identifier is 1356047104, issued on Feb 3, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Miramar, FL. The record was last updated on Oct 9, 2025.