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CORY LYNN GALLIVAN D.O.
NPI 1164009767
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 28, 2021
653 W 8TH ST, JACKSONVILLE, FL 32209(847) 612-0459 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cory Lynn Gallivan D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY LYNN GALLIVAN D.O. (NPI 1164009767) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1164009767
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCORY LYNN GALLIVANCredential: D.O.
Location Address653 W 8TH STJacksonville, FL 32209-6511
Mailing Address653 W 8th StJacksonville, FL 32209-6511
Phone(847) 612-0459
Sole ProprietorNo
Enumeration DateMarch 28, 2021
NPPES CertifiedMarch 28, 2021
✔ NPI 1164009767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653 W 8TH ST, Jacksonville, FL 32209
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL DAVID SCHWEITZER BARRIOS MD
Internal Medicine (Pulmonary Disease)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1014
MRS. BRITTENY WINBURN
Nurse Practitioner (Pediatrics)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3660
KELLY MARIE RUFF APRN
Nurse Practitioner
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2061
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC
Oral & Maxillofacial Surgery
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2000
KIMBERLY GREENWOOD JOHNSON AUDIOLOGIST
Audiologist
653 W 8TH ST, UFJAX - DEPT. OF SURGERY/OTOLARYNGOLOGY
JACKSONVILLE, FL 32209
Duval County (904) 244-7463
ANGELA M MASSEY ARNP
Nurse Practitioner (Family)
653 W 8TH ST, UROLOGY DEPT. 2ND FLOOR
JACKSONVILLE, FL 32209
Duval County (904) 244-7340
DR. TARIQ ALMEREY MD, FACS
Surgery (Surgical Oncology)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-9525
MS. SHANAI LASHAYLA DIXON MD
Student in an Organized Health Care Education/Training Program
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Gallivan's NPI number?

The NPI number for Cory Gallivan is 1164009767. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Cory Gallivan located?

Cory Gallivan practices at 653 W 8th St, Jacksonville, FL 32209. The listed phone number is (847) 612-0459.

What is Cory Gallivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Cory Gallivan was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.