Provider Demographics
NPI:1780823047
Name:AMBA MEDICAL LLC
Entity Type:Organization
Organization Name:AMBA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:
Authorized Official - First Name:VIBHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-787-0015
Mailing Address - Street 1:5600 MARINER ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3471
Mailing Address - Country:US
Mailing Address - Phone:813-787-0015
Mailing Address - Fax:727-954-5893
Practice Address - Street 1:5600 MARINER ST
Practice Address - Street 2:SUITE 216
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3471
Practice Address - Country:US
Practice Address - Phone:813-787-0015
Practice Address - Fax:727-954-5893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies