| Organization Name: | ELDRIDGE E MCCORMICK MD PA |
| NPI Number: | 1376893560 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELDRIDGE E MCCORMICK (OWNER) |
| Mailing Address: | 2109 60th St W Bradenton |
| State: | FL US |
| Postal Code: | 342095526 |
| Phone Number: | 9417929125 |
| Fax Number: | 9417989184 |
| NPI Enumeration Date: | 09/14/2012 |
| NPI Last Update Date: | 09/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |