Provider Demographics
NPI:1164421301
Name:COFIELD, MICHELE A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:A
Last Name:COFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 LAKE SUMTER LNDG
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-2699
Mailing Address - Country:US
Mailing Address - Phone:352-674-8700
Mailing Address - Fax:523-674-8714
Practice Address - Street 1:2955 BROWNWOOD BLVD
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32163-2036
Practice Address - Country:US
Practice Address - Phone:352-674-8700
Practice Address - Fax:352-687-8714
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99428207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300333511OtherUNITED HEALTHCARE
FL300333511OtherCIGNA
FL300333511OtherHUMANA
FL000258500Medicaid
FL3000333511OtherWELLCARE
FL7303687OtherAETNA
FL71457OtherUNIVERSAL
FL61167OtherBCBS
FLP00760457OtherRR MEDICARE PIN
FL1068202OtherCAREPLUS
FLDH1316OtherRR MEDICARE GIN
FLP00760457OtherRR MEDICARE PIN
FL000258500Medicaid