Mccormick, Wayne A.

Mccormick, Wayne A. is an individual health care provider with primary practice located at 30522 Us Highway 19 N Suite 119, Palm Harbor FL 34684-4444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccormick, Wayne A. can be contacted via phone (727) 786-5058.

Contact Information

Primary practice address
30522 Us Highway 19 N Suite 119 Palm Harbor FL 34684-4444
Phone: (727) 786-5058
Fax: (813) 635-2639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME62992 Florida

Profile Details

NPI number 1619920360
LBN Legal business name Mccormick, Wayne A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 30th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619920360 NPPES
Florida Other 080051659 RAILROAD MEDICARE NUMBER
Florida MEDICAID 256991400 RAILROAD MEDICARE NUMBER

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