Organization
ETHOS HEATH TAMPA 5LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WALKER DC (OWNER)
(352) 732-5590
Entity
Organization
Contact information
Practice address
4710 N HABANA AVE STE 302, TAMPA, FL 33614-7151
(352) 732-5590
(352) 732-0292
Mailing address
4710 N HABANA AVE STE 302, TAMPA, FL 33614-7151
(352) 732-5590
(352) 732-0292
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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