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1922100700
EDWARD JOHN MCCORMACK
BOCA RATON, FL
NPI
1922100700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 4994)
Enumeration Date
2006-09-02
Last Update Date
2008-03-19
Business Address
-- EDWARD JOHN MCCORMACK PT
7200 W CAMINO REAL SUITE 101
BOCA RATON, FL 33433-5511
Phone number: 561-789-2046
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Mailing Address
-- EDWARD JOHN MCCORMACK PT
2170 SW 7TH CT
BOCA RATON, FL 33486-6951
Phone number:
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