| Englewood Medical Center | |
|
655 N Indiana Ave Englewood FL 34223-2766 | |
| (941) 475-6207 | |
| (941) 475-9801 |
| Full Name | Englewood Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 655 N Indiana Ave, Englewood, Florida |
| Authorized Official Name and Position | Charles B. Eagar (OWNER) |
| Authorized Official Contact | 9414756207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Englewood Medical Center 655 N Indiana Ave Englewood FL 34223-2766 Ph: (941) 475-6207 | Englewood Medical Center 655 N Indiana Ave Englewood FL 34223-2766 Ph: (941) 475-6207 |
| NPI Number | 1821169178 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 10/12/2007 |
| Medicare PECOS PAC ID | 9335338730 |
|---|---|
| Medicare Enrollment ID | O20110118000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821169178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME 46072 (Florida) | Primary |
| Provider Name | Charles B Eagar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831387034 PECOS PAC ID: 7214126614 Enrollment ID: I20110118000288 |
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Mcr Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 579 S Indiana Ave Ste A, Englewood, FL 34223 Phone: 941-776-4000 | |
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