| Mr Alan W Ambrose, CRNA | |
|
8066 124th St, Seminole, FL 33772-4419 | |
| (215) 346-6452 | |
| Not Available |
| Full Name | Mr Alan W Ambrose |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 8066 124th St, Seminole, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619916152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 9312316 (Florida) | Primary |
| 174400000X | Specialist | RN342910L (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Pain Relief Group Pllc | 4688960271 | 67 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Advanced Anesthesia Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811056153 PECOS PAC ID: 3173518966 Enrollment ID: O20040420000472 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Florida Pain Relief Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alan W Ambrose, CRNA 8066 124th St, Seminole, FL 33772-4419 Ph: (215) 346-6452 | Mr Alan W Ambrose, CRNA 8066 124th St, Seminole, FL 33772-4419 Ph: (215) 346-6452 |
Brooklyn Leisge, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10065 Bayou Grande Ave, Seminole, FL 33772 Phone: 859-230-7508 |