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Individual

KORTNI MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(305) 740-0823
Mailing address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(305) 740-0823

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36199
OK
207L00000X
Anesthesiology Physician
Primary
ME167158
FL
208600000X
Surgery Physician
94-10012
KY

Other

Enumeration date
06/18/2019
Last updated
06/17/2024
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