NPI 1023326469

Geoffrey Osmond McCorkle

Practitioner Home Modifications Contractor Miramar, FL

Practice location

Address: 2481 SW 102nd Ave, Miramar, FL 33025-6511
Phone: (305) 218-4383

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence CGC061360 (FL)

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Registry record

NPI: 1023326469
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2010
Record last updated: 20 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.