Organization · Type 2 NPI
Ethos Health Tampa 1, LLC
Multi-Specialty Clinic/Center · Tampa, FL
NPI number
1285126763
Active
Practice location
4600 N Habana Ave Ste 25
Tampa, FL 33614-7123
Fax (352) 732-0292
Mailing address
1541 SE 17th St
Ocala, FL 34471-4607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1285126763
Ethos Health Tampa 1, LLC's National Provider Identifier is 1285126763, issued on May 31, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tampa, FL. The record was last updated on Jul 7, 2021.