Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cory Lynn Gallivan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164009767

Cory Lynn Gallivan, DO is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

653 W 8th St
Jacksonville, FL 32209-6511
Phone: (847) 612-0459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164009767
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2021
Last updated in NPPESMarch 28, 2021
Certification dateMarch 28, 2021
Mailing address653 W 8th St, Jacksonville, FL 32209-6511

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