Richard A Corley in Live Oak - Physician Assistant
Richard A Corley - NPI 1417020314
Richard A Corley is a Physician Assistant in Live Oak, Florida. Richard A Corley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard A Corley is 1417020314. The last update date is 2009-12-21.
Richard A Corley's current location address is 10820 Marvin E. Jones Blvd., Live Oak, Florida. You can contact this provider via phone number 3866585300 and fax number 3866585130. The mailing address for Richard A Corley is 10820 Marvin E. Jones Blvd., Live Oak, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard A Corley |
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Address | 10820 Marvin E. Jones Blvd., Live Oak, Florida |
Phone Number | 3866585300 |
Fax Number | 3866585130 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1417020314 |
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Provider Enumeration Date | 2006-11-16 |
Last Updated Date | 2009-12-21 |
Provider Mailing Address Detail
Address | 10820 Marvin E. Jones Blvd. |
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City | Live Oak |
State | Florida (FL) |
Post Code | 32060 |
Phone Number | 3866585300 |
Fax Number | 3866585130 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9102574 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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MEDICAID | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard A Corley by the Centers for Medicare & Medicaid Services?
The Richard A Corley has been issued the NPI (National Provider Identifier) 1417020314, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Richard A Corley is located?
The Richard A Corley is situated at the following address: 10820 Marvin E. Jones Blvd., Live Oak, FL, 32060.
What is Richard A Corley's area of expertise and its corresponding taxonomy classification?
The Richard A Corley's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1417020314 assigned to Richard A Corley?
The Richard A Corley was issued its 1417020314 on 2006-11-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Richard A Corley most recently updated or revised?
The details related to Richard A Corley, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-21.
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