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Jonathan Ambut

Student in an Organized Health Care Education/Training Program in Charlottesville, VA. Individual provider (NPI-1).

NPI number1669036620
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1669036620
Entity type
Individual (NPI-1)
Name
Jonathan Ambut
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2019
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1215 Lee St Box 801406
Charlottesville, VA 22908-0816

Phone 434-924-1825

Mailing address

1215 Lee St Box 801406
Charlottesville, VA 22908-0816

Other practice locations

4300 Alton Rd
Miami Beach, FL 33140-2948

Phone 305-674-2310

1600 Nw 10th Ave
Miami, FL 33136-1015

Phone 305-243-3234

4300 Alton Rd
Miami Beach, FL 33140-2948

Phone 305-674-2310

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 631-444-8497

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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