Active NPI
Geoffrey Osmond McCorkle
- Home Modifications Contractor
- Miramar, FL
National Provider Identifier
1023326469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- CGC061360
- Practice address
- 2481 SW 102ND Ave
Miramar, FL 33025-6511 - Phone
- (305) 218-4383
- NPI assigned
- Sep 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | CGC061360 | FL | Primary |
Addresses
Primary practice location
2481 SW 102ND Ave
Miramar, FL 33025-6511
Mailing address
2481 SW 102ND Ave
Miramar, FL 33025-6511
Phone (305) 218-4383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CGC061360 | FL | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1023326469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2481 SW 102ND AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330256511",
"telephone_number": "305-218-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2481 SW 102ND AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330256511",
"telephone_number": "305-218-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKLE",
"first_name": "GEOFFREY",
"middle_name": "OSMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "FL",
"license": "CGC061360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.