| Ethos Heath Tampa 5llc | |
|
4710 N Habana Ave Ste 302 Tampa FL 33614-7151 | |
| (352) 732-5590 | |
| (352) 732-0292 |
| Full Name | Ethos Heath Tampa 5llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4710 N Habana Ave Ste 302, Tampa, Florida |
| Authorized Official Name and Position | Jonathan Walker (OWNER) |
| Authorized Official Contact | 3527325590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Heath Tampa 5llc 4710 N Habana Ave Ste 302 Tampa FL 33614-7151 Ph: (352) 732-5590 | Ethos Heath Tampa 5llc 4710 N Habana Ave Ste 302 Tampa FL 33614-7151 Ph: (352) 732-5590 |
| NPI Number | 1225626054 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225626054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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