Individual
CORRINNA OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, SUITE 2812, PALM COAST, FL 32164-5981
(386) 586-1860
(386) 586-1861
Mailing address
61 MEMORIAL MEDICAL PKWY, SUITE 2812, PALM COAST, FL 32164-5981
(386) 586-1860
(386) 586-1861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102027
LICENSE
FL
Enumeration date
06/20/2006
Last updated
03/07/2017
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