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Organization
MICHAEL T. MCCORMICK & ASSOCIATES PA
Active
Organization
MICHAEL T. MCCORMICK & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CLINT LAIRD (AUTHORIZED OWNER)
(941) 493-8666
Entity
Organization
Contact information
Practice address
836 SUNSET LAKE BLVD STE 205, VENICE, FL 34292-7556
(941) 493-8666
(941) 497-5411
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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