Provider Demographics
NPI:1083710412
Name:WHOOLEY, ELIZABETH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:WHOOLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:WHOOLEY KILKENNY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3592 ALOMA AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4012
Mailing Address - Country:US
Mailing Address - Phone:407-706-1420
Mailing Address - Fax:407-673-4534
Practice Address - Street 1:3592 ALOMA AVENUE
Practice Address - Street 2:SUITE 3
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4012
Practice Address - Country:US
Practice Address - Phone:407-706-1420
Practice Address - Fax:407-673-4534
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor