Provider Demographics
NPI:1790125797
Name:MCCORMACK, MARGARET MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIE
Last Name:MCCORMACK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4314 N MARY CIR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6211
Mailing Address - Country:US
Mailing Address - Phone:772-359-1906
Mailing Address - Fax:
Practice Address - Street 1:701 NORTHPOINT PKWY # 140
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1950
Practice Address - Country:US
Practice Address - Phone:561-296-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9266248207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism