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Organization

ELDRIDGE E MCCORMICK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELDRIDGE E MCCORMICK MD (OWNER)
(941) 792-9125
Entity
Organization

Contact information

Practice address
2109 60TH ST W, BRADENTON, FL 34209-5526
(941) 792-9125
(941) 798-9184
Mailing address
2109 60TH ST W, BRADENTON, FL 34209-5526
(941) 798-9184

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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