Provider Demographics
NPI:1598648925
Name:COISCOU, CAROLINA M
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:M
Last Name:COISCOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOSE
Other - Middle Name:A
Other - Last Name:MOLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13180 NORTH CLEVELAND AVE
Mailing Address - Street 2:SUITE 237
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-6226
Mailing Address - Country:US
Mailing Address - Phone:239-703-0314
Mailing Address - Fax:239-426-8911
Practice Address - Street 1:13180 NORTH CLEVELAND AVE
Practice Address - Street 2:SUITE 237
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-6226
Practice Address - Country:US
Practice Address - Phone:239-703-0314
Practice Address - Fax:239-426-8911
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299996055376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty