Healthcare Provider Details
I. General information
NPI: 1669380655
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
10621 N KENDALL DR STE 101
MIAMI FL
33176-1549
US
IV. Provider business mailing address
15495 EAGLE NEST LN STE 100
MIAMI LAKES FL
33014-2242
US
V. Phone/Fax
- Phone: 305-722-0094
- Fax: 305-556-0071
- Phone: 305-772-0094
- Fax: 305-556-0071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IVAN
LAMBERT
Title or Position: PRESIDENT
Credential:
Phone: 305-556-0021