Provider Demographics
NPI:1780567263
Name:WOOLERY, CYNTHIA D (FNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:D
Last Name:WOOLERY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 NW 338TH ST
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-0213
Mailing Address - Country:US
Mailing Address - Phone:404-275-8592
Mailing Address - Fax:
Practice Address - Street 1:1850 NW 338TH ST
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-0213
Practice Address - Country:US
Practice Address - Phone:404-275-8592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040906207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine