Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356047104 Individual Practitioner Male Practitioner

Stephan Ambrose

Physician Assistant • Miramar, FL

Professional Overview & Biography Verified Profile Summary

Stephan Ambrose is a certified Physician Assistant practicing in Miramar, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Stephan Ambrose delivers high-quality medical care to the local community at 5024 SW 155TH TER.

Stephan Ambrose does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5024 Sw 155th Ter

Miramar, FL 330275644

Telephone 7542044701

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miramar, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
34 Specialists

Practicing in Miramar, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ambrose (1 Years) 1 Yrs
Miramar Specialty Average (10.8 Years) 10.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9120439

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Psychiatry & Neurology - Psychiatry

NUCC Taxonomy Code: 2084P0800X

State License VA 0110011203

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Practice Locations

2275 Health Campus Dr Ste 1

Rockingham, VA 228018809

Phone: 5406894707

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Physician Assistant (License #9120439 in FL)

NPI Profile Active February 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2023

Registered at 5024 SW 155TH TER, MIRAMAR, FL 330275644 (Tel: 7542044701)

📍
Updated Business Mailing Address February 03, 2023

Registered at 5024 SW 155TH TER, MIRAMAR, FL 330275644 (Tel: 7542044701)

👤
Provider Name / Credentials Updated February 03, 2023

Recorded as STEPHAN AMBROSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356047104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2023
Last Update: October 09, 2025
Sole Proprietor: Yes

Mailing Address

5024 Sw 155th Ter

Miramar, FL 330275644

Phone: 7542044701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.