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Individual

DR. TIMOTHY JOSEPH MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
12443 SAN JOSE BOULEVARD, SUITE 704, JACKSONVILLE, FL 32223
(904) 288-8886
(904) 288-8331
Mailing address
12443 SAN JOSE BOULEVARD, SUITE 704, JACKSONVILLE, FL 32223
(904) 288-8888
(904) 288-8331

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
160
NE
2083X0100X
Occupational Medicine Physician
84-248
NM
2083X0100X
Occupational Medicine Physician
A-794-84
NM
2083X0100X
Occupational Medicine Physician
Primary
OS6196
FL

Other

Enumeration date
05/08/2007
Last updated
07/21/2022
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