Ethos Health Group Orlando

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ETHOS HEALTH GROUP ORLANDO

Practice address

640 Dartmouth St
Orlando, FL 32804-5817

Phone

(352) 732-5590

NPI assigned

Sep 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Walker, DC

Title

Owner

Phone

(352) 732-5590

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1154042778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E SILVER SPRINGS BLVD STE 113",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706814",
            "telephone_number": "352-732-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DARTMOUTH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045817",
            "telephone_number": "352-732-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS HEALTH GROUP ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-732-5590",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "osijeang@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "640 Dartmouth St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328045817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Etairos Health, Inc
• Sarah Etheridge-Perkins
• Ethic Health Services, LLC
• Ethica Wellcare Technologies LLC
• Cheikh Ethmane Abou El Maali, MD
• Marilyne Etienne, PA-C
• Trayvond Etienne, MS
• Wilhelmine Johanne Etienne, CRNA
• Yolette Etienne, APRN, FNP-C
• Joshua Carlton Etkins, PHARMD

• Multi-Specialty Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.