Provider Demographics
NPI:1457079733
Name:AMBROZIO'S INSTITUTE INTERNATIONAL FITNESS AND WELLNESS LLC
Entity Type:Organization
Organization Name:AMBROZIO'S INSTITUTE INTERNATIONAL FITNESS AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IZABELLI CRISTINNI
Authorized Official - Middle Name:
Authorized Official - Last Name:DA SILVA MUNIZ AMBROZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-274-7806
Mailing Address - Street 1:50 SPEAR ST
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2330
Mailing Address - Country:US
Mailing Address - Phone:908-274-7806
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA DAS NACOES UNIDAS 12495
Practice Address - Street 2:15 ANDAR
Practice Address - City:SAO PAULO
Practice Address - State:SAO PAULO
Practice Address - Zip Code:04533-085
Practice Address - Country:BR
Practice Address - Phone:551-128-4416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty