| Ethos Health Suncity Llc | |
|
4051 Upper Creek Dr Ste 111 Sun City Center FL 33573-6825 | |
| (813) 575-4852 | |
| (352) 732-0292 |
| Full Name | Ethos Health Suncity Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4051 Upper Creek Dr Ste 111, Sun City Center, Florida |
| Authorized Official Name and Position | Jonathan Walker (OWNER/OPERATOR) |
| Authorized Official Contact | 3527325590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Health Suncity Llc 1541 Se 17th St Ocala FL 34471-4607 Ph: (352) 732-5590 | Ethos Health Suncity Llc 4051 Upper Creek Dr Ste 111 Sun City Center FL 33573-6825 Ph: (813) 575-4852 |
| NPI Number | 1598257081 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 9133528573 |
|---|---|
| Medicare Enrollment ID | O20210604001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598257081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Agnes Torres Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740721695 PECOS PAC ID: 7012278161 Enrollment ID: I20180306000828 |
| Provider Name | Caitlyn Royal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972158947 PECOS PAC ID: 2062743875 Enrollment ID: I20191009001630 |
| Provider Name | Kyle Jonathon Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839359 PECOS PAC ID: 4183021884 Enrollment ID: I20220225002467 |
| Provider Name | Nicole Bozzini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770226342 PECOS PAC ID: 8921483421 Enrollment ID: I20220920001929 |
Burhaan Ahmad, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4020 Sun City Center Blvd, Suite #1, Sun City Center, FL 33573 Phone: 813-634-5502 Fax: 813-633-2702 | |
Healthy Home Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 Cypress Village Blvd, Sun City Center, FL 33573 Phone: 813-922-2660 | |
Joseph P. Labarbera, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4020 Sun City Center Blvd, Suite #1, Sun City Center, FL 33573 Phone: 813-634-5502 Fax: 813-633-2702 | |
Rhc Sun City Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-460-2098 | |
Dba Verimed Health Group, Sun City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 S Pebble Beach Blvd, Suite 207, Sun City Center, FL 33573 Phone: 813-415-5038 | |
Regenerative Health Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 727-337-2162 | |
Marquez Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 953 Del Webb Blvd East, Sun City Center, FL 33573 Phone: 813-634-6880 Fax: 813-634-6833 |