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Individual

LEAH R MCCORMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Mailing address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
300266
NC
363L00000X
Nurse Practitioner
F3817971
NY
363L00000X
Nurse Practitioner
SP010297
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9351470
FL

Other

Enumeration date
10/19/2006
Last updated
05/24/2023
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