Healthcare Provider Details

I. General information

NPI: 1760123533
Provider Name (Legal Business Name): AMBAR SEKULITS RODRIGUEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

IV. Provider business mailing address

20900 BISCAYNE BLVD
AVENTURA FL
33180-1407
US

V. Phone/Fax

Practice location:
  • Phone: 939-415-8607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-04343
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: