MEDICARE: DR. SARAH ELIZABETH CORMIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	ME169805	FL

General Provider Information

NPI Number	:	1356963573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ELIZABETH CORMIE MD

Provider Business Mailing Address
First Line	:	7700 CONGRESS AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1352
Country	:	US
Telephone Number	:	561-409-1488
Fax Number	:	866-873-7678

Provider Business Practice Location Address
First Line	:	7700 CONGRESS AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1352
Country	:	US
Telephone Number	:	561-409-1488
Fax Number	:	866-873-7678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	05/27/2026

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