Individual
GEOFFREY OSMOND MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2481 SW 102ND AVE, MIRAMAR, FL 33025-6511
(305) 218-4383
Mailing address
2481 SW 102ND AVE, MIRAMAR, FL 33025-6511
(305) 218-4383
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CGC061360
FL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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