Dr Timothy Joseph Mccormick, DO - Preventive Medicine in Jacksonville, FL

Dr Timothy Joseph Mccormick, DO is a Preventive Medicine - Occupational Medicine physician based in Jacksonville, Florida. Dr Timothy Joseph Mccormick is licensed to practice in Florida (license number OS6196) and his current practice location is 12443 San Jose Boulevard, Suite 704, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 288-8886.

NPI number for Dr Timothy Joseph Mccormick is 1407069248 and his current mailing address is 12443 San Jose Boulevard, Suite 704, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407069248.

Contact Information

Dr Timothy Joseph Mccormick, DO
12443 San Jose Boulevard, Suite 704,
Jacksonville, FL 32223
(904) 288-8886
(904) 288-8331

Map and Direction




Physician's Profile

Full NameDr Timothy Joseph Mccormick
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location12443 San Jose Boulevard, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407069248
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Dr Timothy Joseph Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407069248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 160 (Nebraska)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 84-248 (New Mexico)Secondary
2083X0100XPreventive Medicine - Occupational Medicine A-794-84 (New Mexico)Secondary
2083X0100XPreventive Medicine - Occupational Medicine OS6196 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Joseph Mccormick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy Joseph Mccormick, DO
12443 San Jose Boulevard, Suite 704,
Jacksonville, FL 32223

Ph: (904) 288-8888
Dr Timothy Joseph Mccormick, DO
12443 San Jose Boulevard, Suite 704,
Jacksonville, FL 32223

Ph: (904) 288-8886

Reviews and Comments


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