Individual
KERICE MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
974 7TH AVE NW, RUSKIN, FL 33570-8123
(561) 572-1806
Mailing address
974 7TH AVE NW, RUSKIN, FL 33570-8123
(561) 572-1806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5229436
FL
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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