Healthcare Provider Details

I. General information

NPI: 1437061835
Provider Name (Legal Business Name): TAINA COICOU LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NW 8TH AVE
GAINESVILLE FL
32601-5059
US

IV. Provider business mailing address

22055 HIGHWAY 441 N
MICANOPY FL
32667-7525
US

V. Phone/Fax

Practice location:
  • Phone: 352-234-6258
  • Fax:
Mailing address:
  • Phone: 561-633-8978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW514
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: