Organization
MICHAEL H MCCORMICK M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS B. KELLEY (MEDICAL ASSISTANT)
(850) 769-2417
Entity
Organization
Contact information
Practice address
2202 STATE AVE, SUITE 300, PANAMA CITY, FL 32405-7601
(850) 769-2417
(850) 784-1144
Mailing address
2202 STATE AVE, SUITE 300, PANAMA CITY, FL 32405-7601
(850) 769-2417
(850) 784-1144
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0051595
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME104621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058854700
—
FL
01
—
1346270881
MICHAEL L ADAMS MD NPI
FL
01
—
1407885882
MEDICARE NPI PURVIS
FL
01
—
1477505717
NPI FOR DEBRA J KELLEY ARNP-C
FL
01
—
14798
BLUE SHIELD
FL
01
—
1982677936
MCCORMICK NPI NUMBER
FL
01
—
200012815
RAILROAD MEDICARE
FL
01
—
37186Y
MEDICARE
FL
01
—
P00420317
RAILROAD MEDICARE PURVIS
FL
Enumeration date
07/21/2006
Last updated
12/12/2011
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