| Doctor Name: | CANDACE SUE COOLEY |
| NPI Number: | 1104860089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M D |
| License Number: | 47511 |
| Business Practice Address: | 11 Racetrack Rd Ne Suite D-2 Fort Walton Beach, FL - 325471882 |
| Business Phone Number: | 8505867661 |
| Business Fax Number: | 8505867679 |
| Mailing Address: | 11 Racetrack Rd Ne, Suite D-2 FORT WALTON BEACH |
| State: | FL |
| Postal Code: | 325471882 |
| Phone Number: | 8505867661 |
| Fax Number: | 8505867679 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 06/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 47511 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |