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Organization
ETHOS MEDICAL LLC
Active
Organization
ETHOS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PLUMMER (OWNER)
(754) 224-0142
Entity
Organization
Contact information
Practice address
2011 S 25TH ST STE 216, FORT PIERCE, FL 34947-4753
(772) 228-1198
Mailing address
2011 S 25TH ST STE 216, FORT PIERCE, FL 34947-4753
(772) 228-1198
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/06/2019
Last updated
10/02/2019
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