Mccormack, Jorge

Mccormack, Jorge is an individual health care provider with primary practice located at 625 6Th Ave S Ste 120 , St Petersburg FL 33701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Mccormack, Jorge can be contacted via phone (727) 322-4830.

Contact Information

Primary practice address
625 6Th Ave S Ste 120 St Petersburg FL 33701
Phone: (727) 322-4830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 45851 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 45851 Florida

Profile Details

NPI number 1417994435
LBN Legal business name Mccormack, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 19th, 2018 - about 8 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 1417994435 NPPES
Florida MEDICAID 371512400

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