OrganizationActive
Ethos Health Tampa 2, LLC
NPI 1154813640 · Multi-Specialty Clinic/Center · St Petersburg, FL
Provider details
- NPI number
- 1154813640
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Walker, Owner/Operator(352) 732-5590
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6701 38th Ave N Ste a
St Petersburg, FL 33710-1500
Phone: (352) 732-5590
Fax: (352) 732-0292
Street-level locationGet directions
Mailing address
1541 Se 17th St
Ocala, FL 34471-4607
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.