Provider Demographics
NPI:1598980690
Name:TCORP INC
Entity Type:Organization
Organization Name:TCORP INC
Other - Org Name:TCORP SURGICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DRABICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-206-6308
Mailing Address - Street 1:2013 E JEFFERSON STREET
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803
Mailing Address - Country:US
Mailing Address - Phone:321-206-6308
Mailing Address - Fax:407-574-5715
Practice Address - Street 1:2013 E JEFFERSON STREET
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:321-206-6308
Practice Address - Fax:407-574-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical