Organization
MCCORMICK ORGANIZATION, INC
Active
Other names
Cocoa Beach Body Works and Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MCCORMICK (PRESIDENT)
(352) 317-7176
Entity
Organization
Contact information
Practice address
1355 N ATLANTIC AVE, COCOA BEACH, FL 32931-3203
(321) 613-2969
Mailing address
299 N ATLANTIC AVE APT 604, COCOA BEACH, FL 32931-4307
(352) 317-7176
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHF1355
WE DON'T USE THIS SYSTEM
—
Enumeration date
09/19/2019
Last updated
09/19/2019
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