Individual
CANDACE SUE COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
11 RACETRACK RD NE, SUITE D-2, FORT WALTON BEACH, FL 32547-1882
(850) 586-7661
(850) 586-7679
Mailing address
11 RACETRACK RD NE, SUITE D-2, FORT WALTON BEACH, FL 32547-1882
(850) 586-7661
(850) 586-7679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
47511
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
ME77965
FL
Other
Enumeration date
06/15/2006
Last updated
06/26/2015
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