# ETHOS MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871051086
- **Authorized official:** JAY PLUMMER (OWNER)
- **Authorized official phone:** (754) 224-0142

## Contact information

- **Practice address:** 2011 S 25TH ST STE 216, FORT PIERCE, FL 34947-4753
- **Practice address phone:** (772) 228-1198
- **Mailing address:** 2011 S 25TH ST STE 216, FORT PIERCE, FL 34947-4753
- **Mailing address phone:** (772) 228-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 10/02/2019