# MICHAEL T. MCCORMICK & ASSOCIATES PA

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

## Provider details

- **NPI number:** 1982418190
- **Authorized official:** ROY CLINT LAIRD (OWNER AND CEO)
- **Authorized official phone:** (941) 493-8666

## Contact information

- **Practice address:** 17835 MURDOCK CIR, PORT CHARLOTTE, FL 33948-4000
- **Practice address phone:** (941) 624-6300
- **Practice address fax:** (941) 624-6157
- **Mailing address:** PO BOX 825159, PHILADELPHIA, PA 19182-5159

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 05/29/2025