Organization
ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA
Active
Other names
Pediatric Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE MCCORMACK MD (CHIEF EXECUTIVE OFFICER)
(727) 767-4200
Entity
Organization
Contact information
Practice address
840 DR MLKING JR ST NO, 400, ST PETERSBURG, FL 33705
(727) 767-4200
(727) 767-8047
Mailing address
880 6TH ST S, 280, ST PETERSBURG, FL 33701-4827
(727) 767-4200
(727) 767-8047
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
07/24/2007
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