=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821898610
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TERSUS CARE CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2025
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 E MONUMENT AVE UNIT 602
-----------------------------------------------------
City | KISSIMMEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34741-5788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-485-3419
-----------------------------------------------------
Fax | 407-386-6273
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 E MONUMENT AVE UNIT 602
-----------------------------------------------------
City | KISSIMMEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34741-5788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-485-3419
-----------------------------------------------------
Fax | 407-386-6273
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ALAIN F MURSULI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-485-3419
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------