MEDICARE: CLAUDIA COELLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN30882	FL

General Provider Information

NPI Number	:	1306534029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA COELLO

Provider Business Mailing Address
First Line	:	3925 NE 23RD AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909
Country	:	US
Telephone Number	:	786-246-4679
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 BETH STACEY BLVD UNIT 210
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-6074
Country	:	US
Telephone Number	:	239-230-8161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	01/30/2026

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Directions to “ CLAUDIA COELLO ” Practice Location

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