CANDACE SUE COOLEY M D
NPI 1104860089
Obstetrics & Gynecology in Fort Walton Beach, FL

Active since June 15, 2006
11 RACETRACK RD NE, SUITE D-2, FORT WALTON BEACH, FL 32547(850) 586-7661(850) 586-7679 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Sue Cooley M D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE SUE COOLEY M D (NPI 1104860089) is an individual obstetrics & gynecology provider in Fort Walton Beach, Florida, licensed in Florida (ME77965) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104860089
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCANDACE SUE COOLEYCredential: M D
Location Address11 RACETRACK RD NE, SUITE D-2Fort Walton Beach, FL 32547-1882
Mailing Address11 Racetrack Rd Ne, Suite D-2Fort Walton Beach, FL 32547-1882 · (850) 586-7661 · Fax (850) 586-7679
Fax(850) 586-7679
Sole ProprietorYes
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 26, 2015
NPI 1104860089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in FL · ME77965 Licensed in CO · 47511
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.
11 RACETRACK RD NE, Fort Walton Beach, FL 32547

Other Identifiers 1

Medicare UPING72623FL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
11 RACETRACK RD NE, SUITE E4
FORT WALTON BEACH, FL 32547
Plastic Surgery
11 RACETRACK RD NE, STE. E4
FORT WALTON BEACH, FL 32547
Clinic/Center (Ambulatory Surgical)
11 RACETRACK RD NE, SUITE E4
FORT WALTON BEACH, FL 32547
Psychologist
11 RACETRACK RD NE, SUITE D2
FORT WALTON BEACH, FL 32547
Plastic Surgery
11 RACETRACK RD NE, STE. E4
FORT WALTON BEACH, FL 32547
Registered Nurse (Registered Nurse First Assistant)
11 RACETRACK RD NE, SUITE E4
FORT WALTON BEACH, FL 32547
Plastic Surgery
11 RACETRACK RD NE, STE E4
FORT WALTON BEACH, FL 32547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Cooley's NPI number?

The NPI number for Candace Cooley is 1104860089. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Candace Cooley located?

Candace Cooley practices at 11 Racetrack Rd NE Suite D-2, Fort Walton Beach, FL 32547. The listed phone number is (850) 586-7661.

What is Candace Cooley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Candace Cooley was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.