# MICHAEL H MCCORMICK M D P A

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

## Provider details

- **NPI number:** 1811917628
- **Authorized official:** MRS. DORIS B. KELLEY (MEDICAL ASSISTANT)
- **Authorized official phone:** (850) 769-2417

## Contact information

- **Practice address:** 2202 STATE AVE, SUITE 300, PANAMA CITY, FL 32405-7601
- **Practice address phone:** (850) 769-2417
- **Practice address fax:** (850) 784-1144
- **Mailing address:** 2202 STATE AVE, SUITE 300, PANAMA CITY, FL 32405-7601
- **Mailing address phone:** (850) 769-2417
- **Mailing address fax:** (850) 784-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME0051595 | FL | — |
| 207X00000X | Orthopaedic Surgery Physician | ME104621 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 12/12/2011