| NPI | 1447972088 |
|---|---|
| Doing Business As | ELDRIDGE MCCORMACK, MD PA |
| Entity Type | Organization |
| Authorized Contact | VICTOR GEORGE GHOBRIAL Physician Owner 941-705-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |