Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 105978 | MO |
Y | 207VX0000X | Obstetrician | ME152286 | FL |
NPI | 1275538001 |
---|---|
Provider Name | Cynthia T Woollen |
First Address | Tampa, FL 33622-5317 |
Second Address | Tampa, FL 33609-1104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 05/11/2021 |