Organization
ETHOS HEALTH MARYLAND 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RAY WALKER DC (OWNER)
(352) 732-5590
Entity
Organization
Contact information
Practice address
4940 CAMPBELL BLVD STE 130, NOTTINGHAM, MD 21236-5910
(410) 870-6498
(410) 870-6555
Mailing address
1541 SE 17TH ST, OCALA, FL 34471-4607
(352) 732-5590
(352) 732-0292
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
03/03/2021
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