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RICHARD A CORLEY PA
NPI 1417020314
Physician Assistant in Live Oak, FL

Active since November 16, 2006
10820 MARVIN E JONES BLVD, LIVE OAK, FL 32060(386) 658-5300(386) 658-5130 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard A Corley Pa NPPES

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

RICHARD A CORLEY PA (NPI 1417020314) is an individual physician assistant in Live Oak, Florida, licensed in Florida (PA9102574) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417020314
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICHARD A CORLEYCredential: PA
Location Address10820 MARVIN E JONES BLVDLive Oak, FL 32060
Mailing Address10820 Marvin E. Jones Blvd.Live Oak, FL 32060 · (386) 658-5300 · Fax (386) 658-5130
Phone(386) 658-5300
Fax(386) 658-5130
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateDecember 21, 2009
✔ NPI 1417020314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10820 MARVIN E JONES BLVD, Live Oak, FL 32060
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Other Identifiers 3

Medicare ID-Type UnspecifiedMEDICAREU4692z
MedicaidMEDICAIDFL
Medicare UPINUPIN

Other Providers at the Same Location NPPES

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

ACV COMMUNITY SERVICES LL
General Practice
10820 MARVIN E JONES BLVD
LIVE OAK, FL 32060
Suwannee County (386) 658-5341

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 Richard Corley's NPI number?

The NPI number for Richard Corley is 1417020314. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Richard Corley located?

Richard Corley practices at 10820 Marvin E Jones Blvd, Live Oak, FL 32060. The listed phone number is (386) 658-5300.

What is Richard Corley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Corley was last updated on December 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.