Healthcare Provider Details

I. General information

NPI: 1356963573
Provider Name (Legal Business Name): SARAH ELIZABETH CORMIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 CONGRESS AVE
BOCA RATON FL
33487-1352
US

IV. Provider business mailing address

7700 CONGRESS AVE
BOCA RATON FL
33487-1352
US

V. Phone/Fax

Practice location:
  • Phone: 561-409-1488
  • Fax: 866-873-7678
Mailing address:
  • Phone: 561-409-1488
  • Fax: 866-873-7678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME169805
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: