Provider Demographics
NPI:1437512324
Name:AMBITIOUS CARE SERVICES OF FLORIDA
Entity Type:Organization
Organization Name:AMBITIOUS CARE SERVICES OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:863-242-8444
Mailing Address - Street 1:1023 S HIAWASSEE RD APT 4016
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1894
Mailing Address - Country:US
Mailing Address - Phone:863-242-8444
Mailing Address - Fax:
Practice Address - Street 1:1023 S HIAWASSEE RD APT 4016
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-1894
Practice Address - Country:US
Practice Address - Phone:863-242-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care