Provider Demographics
NPI:1548530660
Name:COFIELD, DONALD DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:DEAN
Last Name:COFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 LAUREL OAK CT
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2391
Mailing Address - Country:US
Mailing Address - Phone:941-429-2582
Mailing Address - Fax:
Practice Address - Street 1:5130 LAUREL OAK CT
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2391
Practice Address - Country:US
Practice Address - Phone:941-429-2582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01020088A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology