Individual
DR. RYAN JACKSON MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
(407) 875-0244
Mailing address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
(407) 875-0244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME101146
FL
Other
Enumeration date
01/07/2008
Last updated
10/15/2010
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