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NPI Code Detail

MEDICARE: ETAIROS HEALTH, INC

MEDICARE: ETAIROS HEALTH, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386110419
Entity Type Code : Organization
Provider Name (Legal Business Name) : ETAIROS HEALTH, INC
Provider Business Mailing Address
First Line : 2708 ALT 19 STE 501
Second Line :
City : PALM HARBOR
State : FL
Zip : 34683-2644
Country : US
Telephone Number : 727-723-7532
Fax Number :
Provider Business Practice Location Address
First Line : 2708 ALT 19 STE 501
Second Line :
City : PALM HARBOR
State : FL
Zip : 34683-2644
Country : US
Telephone Number : 727-723-7532
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF OPERATIONS
Name : SCOTT GEORGE
Credential :
Telephone Number : 770-851-4538
Provider Enumeration Date : 10/16/2018
Last Update Date : 02/04/2026

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Directions to “ETAIROS HEALTH, INC ” Practice Location

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