Provider Demographics
NPI:1003852104
Name:CURRAN, ELEANOR J (PAC)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:J
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:JANE
Other - Last Name:CURRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1431 SW 1ST AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6500
Mailing Address - Country:US
Mailing Address - Phone:352-401-1035
Mailing Address - Fax:352-401-1407
Practice Address - Street 1:1431 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6500
Practice Address - Country:US
Practice Address - Phone:352-401-1035
Practice Address - Fax:352-401-1407
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102878363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL292011500Medicaid
FL292011500Medicaid
Q29042Medicare UPIN