Basic Information
| Provider Information | |||||||||
| NPI: | 1164421301 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COFIELD | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1020 LAKE SUMTER LNDG | ||||||||
| Address2: | |||||||||
| City: | THE VILLAGES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321622699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526748700 | ||||||||
| FaxNumber: | 5236748714 | ||||||||
| Practice Location | |||||||||
| Address1: | 2955 BROWNWOOD BLVD | ||||||||
| Address2: | |||||||||
| City: | THE VILLAGES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321632036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526748700 | ||||||||
| FaxNumber: | 3526878714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2005 | ||||||||
| LastUpdateDate: | 02/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | ME99428 | FL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VG0400X | ME99428 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 300333511 | 01 | FL | UNITED HEALTHCARE | OTHER | 300333511 | 01 | FL | CIGNA | OTHER | 300333511 | 01 | FL | HUMANA | OTHER | 000258500 | 05 | FL | MEDICAID | 3000333511 | 01 | FL | WELLCARE | OTHER | 7303687 | 01 | FL | AETNA | OTHER | 71457 | 01 | FL | UNIVERSAL | OTHER | 61167 | 01 | FL | BCBS | OTHER | P00760457 | 01 | FL | RR MEDICARE PIN | OTHER | 1068202 | 01 | FL | CAREPLUS | OTHER | DH1316 | 01 | FL | RR MEDICARE GIN | OTHER |