Provider Demographics
NPI:1679083117
Name:EUREKA BILLING
Entity type:Organization
Organization Name:EUREKA BILLING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:YATROS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:844-954-2455
Mailing Address - Street 1:402 43RD ST W STE A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-2953
Mailing Address - Country:US
Mailing Address - Phone:844-954-2455
Mailing Address - Fax:844-868-4098
Practice Address - Street 1:402 43RD ST W STE A
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2953
Practice Address - Country:US
Practice Address - Phone:844-954-2455
Practice Address - Fax:844-868-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies