Richard Corley, PA

NPI 1417020314 · on the registry since 2006

Practice

Address: 10820 Marvin E Jones Blvd
Live Oak, FL 32060
Phone: (386) 658-5300
Fax: (386) 658-5130
Organisation at this address: Acv Community Services Ll
Acv Community Services Llc
Acv Community Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida