Individual
DR. JOHN D MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 259-8500
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME82622
FL
208000000X
Pediatrics Physician
Primary
ME82622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264918700
—
FL
01
—
51349
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/01/2006
Last updated
03/30/2021
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