Individual
DR. MICHAEL THOMAS MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
115 SHAMROCK BLVD, VENICE, FL 34293-1630
(941) 493-8666
(941) 497-5411
Mailing address
115 SHAMROCK BLVD, VENICE, FL 34293-1630
(941) 493-8666
(941) 497-5411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029657100
—
FL
Enumeration date
07/24/2006
Last updated
03/26/2013
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