Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Woolly Souffrance, PT, CSCS

Individual provider Physical Therapist · NPI 1619846714

Dr. Woolly Souffrance, PT, CSCS is a Physical Therapist in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

40124 US-27
Davenport, FL 33837
Phone: (863) 419-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40658 (FL)

Record details

NPI number1619846714
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , CSCS
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateOctober 18, 2025

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