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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: July 19, 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.

MS. LAURIANN SANDRIK PSYD
Psychologist (Clinical Child & Adolescent)
653 W 8TH ST, UFJP PEDIATRIC INFECTIOUS DISEASES
JACKSONVILLE, FL 32209
Duval County (904) 244-5529
MR. ERNEST R COOK RN
Registered Nurse
653 W 8TH ST, UFJP CARDIOTHORACIC SURGERY
JACKSONVILLE, FL 32209
Duval County (904) 549-3915
KIMBERLY GREENWOOD JOHNSON AUDIOLOGIST
Audiologist
653 W 8TH ST, UFJAX - DEPT. OF SURGERY/OTOLARYNGOLOGY
JACKSONVILLE, FL 32209
Duval County (904) 244-7463
MS. DEBORAH LYNNE MAXWELL-HODGES ARNP
Nurse Practitioner (Family)
653 W 8TH ST, UFJP -DEPT. OF OBGYN
JACKSONVILLE, FL 32209
Duval County (904) 244-3109
DR. TIMOTHY SHANE HESTER D.O.
Surgery (Surgical Critical Care)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3903
KEYA AISHA LOCKE M.D
Anesthesiology
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-4390
CAROL GETKER SHORES MD
Surgery (Surgical Critical Care)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1015
JULIANA GOMEZ
Student in an Organized Health Care Education/Training Program
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2000

Frequently Asked Questions

What is Cory Gallivan's NPI number?

The NPI number assigned to this healthcare provider is 1164009767, enumerated as an "individual" on March 28, 2021.

Where is the provider located?

The provider is located at 653 W 8TH ST JACKSONVILLE, FL 32209 and the phone number is (847) 612-0459.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.