Provider profile

Individual

Mahogany Jervon Ambrose

Radiology in Fort Myers, FL. NPI 1316300940, listed in the CMS NPI Registry since 03/31/2016. Bills Medicare.

NPI 1316300940Specialty RadiologyEnumerated 03/31/2016
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Registry and Medicare facts

Practice location
14551 Hope Center Loop Ste 100, Fort Myers, FL 33912
CMS NPI Registry
Phone
(239) 936-2316
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
03/31/2016
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,783 Part B
CMS Medicare 2024

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