MEDICARE: MIKAELA LEE COEL MPH, RD, LDN CPH

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1922668193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKAELA LEE COEL MPH, RD, LDN CPH

Provider Business Mailing Address
First Line	:	14420 QUAIL TRAIL CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7087
Country	:	US
Telephone Number	:	941-284-8497
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 SANDSPUR RD
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-6138
Country	:	US
Telephone Number	:	941-284-8497
Fax Number	:

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

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	06/12/2026

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