Provider Demographics
NPI:1346204914
Name:MCCORMICK, FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:MCCORMICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:MCCORMICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2536 SE 9TH ST
Mailing Address - Street 2:MCCORMICK SHOULDER AND SPORTS SURGICAL SPECIALIST
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-6709
Mailing Address - Country:US
Mailing Address - Phone:617-803-5832
Mailing Address - Fax:
Practice Address - Street 1:29 EAST 29 STREET
Practice Address - Street 2:1ST FLOOR BLDG B SUITE 402
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-5521
Practice Address - Country:US
Practice Address - Phone:844-954-7627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247273207X00000X
FLME116967207XX0005X
NJ25IA12141300207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25IA12141300OtherLICENSE NUMBER