| Ethos Health Group, LLC | |
|
1541 Se 17th St Ocala FL 34471-4607 | |
| (352) 732-5590 | |
| (352) 732-0292 |
| Full Name | Ethos Health Group, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1541 Se 17th St, Ocala, Florida |
| Authorized Official Name and Position | Jonathan Walker (OWNER/CEO) |
| Authorized Official Contact | 3527325590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Health Group, LLC 415 Cowart Ave Ste B Valdosta GA 31602-2651 Ph: (352) 732-5590 | Ethos Health Group, LLC 1541 Se 17th St Ocala FL 34471-4607 Ph: (352) 732-5590 |
| NPI Number | 1982410726 |
|---|---|
| Provider Enumeration Date | 12/06/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 6800300401 |
|---|---|
| Medicare Enrollment ID | O20250707003297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982410726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Anthony J Sancetta |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1043218233 PECOS PAC ID: 2466478169 Enrollment ID: I20051021000504 |
| Provider Name | Jonathan Ray Walker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801092218 PECOS PAC ID: 2062576705 Enrollment ID: I20090205000205 |
| Provider Name | Jennifer Lynn Waicus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417585316 PECOS PAC ID: 0547681785 Enrollment ID: I20200526003023 |
| Provider Name | Ela J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669934832 PECOS PAC ID: 2860735198 Enrollment ID: I20201026000030 |
| Provider Name | Nicole Bozzini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770226342 PECOS PAC ID: 8921483421 Enrollment ID: I20220920001929 |
| Provider Name | Karla Alejandra Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265212724 PECOS PAC ID: 2961851944 Enrollment ID: I20231215002363 |
Siva MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 |
Central Florida Heart Group P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Sw Hwy 200, Suite 300, Ocala, FL 34476 Phone: 352-237-4116 Fax: 352-237-1785 |
Munroe Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Sw 1st Ave, Ocala, FL 34471 Phone: 352-867-8311 Fax: 352-867-1053 |
Integrative Health Care and Physical Medicine Ocala LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3256 S Pine Ave Ste 301, Ocala, FL 34471 Phone: 352-369-6325 Fax: 352-369-6329 |
Poonam Warman M D P a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Se Magnolia Ext Ste 202, Ocala, FL 34471 Phone: 352-369-6139 |
Marion Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Se Lake Weir Ave, Ocala, FL 34471 Phone: 352-629-9634 Fax: 352-629-6350 |