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Individual

DR. BRIANA MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
10920 MOSS PARK RD STE 212, ORLANDO, FL 32832-6087
(407) 753-2192
(407) 369-4266
Mailing address
10920 MOSS PARK RD, STE 212, ORLANDO, FL 32832-6087
(407) 833-0802

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29471
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
686675
MEDICARE
FL
Enumeration date
09/05/2014
Last updated
02/11/2020
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