ETHOS HEALTH MELBOURNE LLC
NPI 1942792429
Clinic/Center - Multi-Specialty in Melbourne, FL

Active since May 31, 2018
2755 N WICKHAM RD STE 102, MELBOURNE, FL 32935(352) 732-5590(352) 732-0292 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Oct 13, 2021 (2 updates tracked since 2021).

About Ethos Health Melbourne Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHOS HEALTH MELBOURNE LLC (NPI 1942792429) is a healthcare organization registered as a multi-specialty in Melbourne, Florida and active in the NPI registry since May 2018. The organization lists Jonathan Walker, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1942792429
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameETHOS HEALTH MELBOURNE LLC
Location Address2755 N WICKHAM RD STE 102Melbourne, FL 32935-2226
Mailing Address1541 Se 17th StOcala, FL 34471-4607 · (352) 732-5590 · Fax (352) 732-0292
Fax(352) 732-0292
Organization SubpartNo
Authorized OfficialJonathan WalkerOwner/operator · (352) 732-5590
Enumeration DateMay 31, 2018
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
NPI 1942792429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2755 N WICKHAM RD STE 102, Melbourne, FL 32935

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2755 N WICKHAM RD STE 102
MELBOURNE, FL 32935
Nurse Practitioner (Family)
2755 N WICKHAM RD STE 102
MELBOURNE, FL 32935
Counselor (Mental Health)
2755 N WICKHAM RD STE 102
MELBOURNE, FL 32935
Counselor (Mental Health)
2755 N WICKHAM RD STE 102
MELBOURNE, FL 32935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethos Health Melbourne LLC's NPI number?

The NPI number for Ethos Health Melbourne LLC is 1942792429. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is Ethos Health Melbourne LLC located?

Ethos Health Melbourne LLC is located at 2755 N Wickham Rd Ste 102, Melbourne, FL 32935. The listed phone number is (352) 732-5590.

What is Ethos Health Melbourne LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ethos Health Melbourne LLC was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.