Individual
KERRY MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 663-6853
(786) 624-2736
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 663-6853
(786) 624-2736
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9365598
FL
Other
Enumeration date
09/25/2013
Last updated
10/17/2013
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