| Richard A Corley, PA | |
|
10820 Marvin E Jones Blvd, Live Oak, FL 32060 | |
| (386) 658-5300 | |
| (386) 658-5130 |
| Full Name | Richard A Corley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 10820 Marvin E Jones Blvd, Live Oak, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417020314 | NPI | - | NPPES |
| MEDICAID | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102574 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Corley, PA 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 Ph: (386) 658-5300 | Richard A Corley, PA 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Ph: (386) 658-5300 |
Joshua Trent Vesely, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Ms. Judith Elaine Lynch, RD, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Nobles Ferry Rd, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Sharon Baldauf-madero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Gloria Wu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Ohio Ave S, Live Oak, FL 32064 Phone: 386-339-1060 |