# MICHAEL T. MCCORMICK & ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710104583
- **Authorized official:** ROY CLINT LAIRD (OWNER AND DPM)
- **Authorized official phone:** (941) 493-8666

## Contact information

- **Practice address:** 115 SHAMROCK BLVD, VENICE, FL 34293-1630
- **Practice address phone:** (941) 493-8666
- **Practice address fax:** (941) 497-5411
- **Mailing address:** PO BOX 825159, PHILADELPHIA, PA 19182-5159
- **Mailing address phone:** (941) 493-8666
- **Mailing address fax:** (941) 497-5411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 05/29/2025