Healthcare Provider Details

I. General information

NPI: 1164421301
Provider Name (Legal Business Name): MICHELE A COFIELD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 BROWNWOOD BLVD
THE VILLAGES FL
32163-2036
US

IV. Provider business mailing address

1020 LAKE SUMTER LNDG
THE VILLAGES FL
32162-2699
US

V. Phone/Fax

Practice location:
  • Phone: 352-674-8700
  • Fax: 352-687-8714
Mailing address:
  • Phone: 352-674-8700
  • Fax: 523-674-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME99428
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME99428
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: