Healthcare Provider Details

I. General information

NPI: 1982512976
Provider Name (Legal Business Name): AMBERT MEDICAL CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15495 EAGLE NEST LN STE 250
MIAMI LAKES FL
33014-2242
US

IV. Provider business mailing address

15495 EAGLE NEST LN STE 100
MIAMI LAKES FL
33014-2242
US

V. Phone/Fax

Practice location:
  • Phone: 305-556-0021
  • Fax: 305-556-0071
Mailing address:
  • Phone: 305-556-0021
  • Fax: 305-556-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: IVAN LAMBERT
Title or Position: PRESIDENT
Credential:
Phone: 305-556-0021