Individual provider · NPI-1

Edward A Ambler III

Adult Companion · Orlando, FL

NPI number1295566776
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1295566776
Entity type
Individual (NPI-1)
Name
Mr. Edward A Ambler III
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 8, 2024
Certification date
Aug 6, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

20143 Ralston St
Orlando, FL 32833-4939

Phone 407-496-1038

Mailing address

20143 Ralston St
Orlando, FL 32833-4939

Phone 407-496-1038

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