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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COREY THACKER

Active Sole Proprietor

COREY THACKER is a Independent Duty Corpsman healthcare provider located in JACKSONVILLE, Florida. NPI 1235599234 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · JACKSONVILLE, FL

Registration Details

NPI Number
1235599234
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2016 (10.443511691152 yrs)
Last Updated
Apr 17, 2025
Sole Proprietor
Yes

Practice Information

Address
6801 ROOSEVELT BLVD BLDG 938
JACKSONVILLE, FL, 322121192
Browse FL providers · Browse ZIP 32212
Phone
4073259229
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in JACKSONVILLE, FL

Name Credential NPI
MR. DION ERICSON BLAKE IDC 1922076827
SAMUEL THOMAS GILLILAND IDC 1679540645
MR. HECTOR LUIS ORTIZ II 1174591903
ROBERT TODD POWELL IDC 1922061142
MICHAEL JAMES HOLMES IDC 1063476257
DAVID JOSHUA MAYER 1851433411
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.