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NPI Code Detail

MEDICARE: DR. MICHAEL JOHN D'AMBROSE MD

MEDICARE: DR. MICHAEL JOHN D'AMBROSE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME145215FL

General Provider Information

NPI Number : 1821301037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOHN D'AMBROSE MD
Provider Business Mailing Address
First Line : 200 S ORANGE AVE STE 1475
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3400
Country : US
Telephone Number : 407-883-0456
Fax Number : 689-214-3201
Provider Business Practice Location Address
First Line : 200 S ORANGE AVE STE 1475
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3400
Country : US
Telephone Number : 407-883-0456
Fax Number : 689-214-3201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 02/10/2026

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