Provider Demographics
NPI:1174740955
Name:EURCOCARE MEDICAL CENTER INC
Entity type:Organization
Organization Name:EURCOCARE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-809-0403
Mailing Address - Street 1:11014 N DALE MABRY HWY
Mailing Address - Street 2:#504
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-3800
Mailing Address - Country:US
Mailing Address - Phone:813-269-4000
Mailing Address - Fax:813-269-4002
Practice Address - Street 1:922 HIGHWAY 81 E # 365
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-2978
Practice Address - Country:US
Practice Address - Phone:866-809-0403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCCR 2946174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty