COCONUT CREEK PROFESSIONAL GROUP LLC (NPI# 1366803322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366803322 |
| Entity Type | Organization |
| Organization Name | COCONUT CREEK PROFESSIONAL GROUP LLC |
| Practice Address |
3880 Coconut Creek Pkwy Ste 303 Coconut Creek FL 33066-1651 |
| Practice Telephone | 9546578524 |
| Practice Fax Number | 9543010794 |
| Mailing Telephone | 9546578524 |
| Mailing Fax Number | 9543010794 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | MR. CHRISTOPHER REUL (OWNER) |
| Authorized Official Telephone | 9546578524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
3880 COCONUT CREEK PKWY STE 303 |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33066-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740636992 | Highbridge Care Homewood LLC | Home Health | 3880 Coconut Creek Parkway, Suite 202, Coconut Creek, FL 33066 | 2016-05-06 |
| 1568708873 | Amelia Hernandez | Technician, Other | 2899 Carambola Cir S, Coconut Creek, FL 33066 | 2012-12-14 |
| 1265606537 | Medcap Investment Group LLC | Pharmacy | 1001 Wynmoor Circle, Coconut Creek, FL 33066 | 2008-04-17 |
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1891392098 | Brittany D Knight | Behavior Technician | 3720 Coconut Creek Pkwy Ste D, Coconut Creek, FL 33066 | 2020-10-01 |
| 1992819767 | Michael P Angelillo | Internal Medicine | 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 | 2006-08-18 |
| 1326152190 | Stephen W White | Family Medicine | 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 | 2006-08-18 |
| 1720220775 | Focus On Health Rx LLC | Durable Medical Equipment & Medical Supplies | 1001 Wynmoor Circle, Coconut Creek, FL 33066-0000 | 2009-04-06 |
| 1306372156 | Wiiliam Aldrich | Behavior Technician | 2201 Lucaya Bnd, M1, Coconut Creek, FL 33066-1154 | 2017-05-11 |
| 1104485242 | Paul C Kopp | Assisted Living Facility | 3201 Portofino Pt Apt M2, Coconut Creek, FL 33066-1241 | 2019-06-12 |
| Find all providers in zip 33066 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1629540273 | Aware Recovery Care of Florida LLC | Psychiatry & Neurology | 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 | 2018-12-20 |
| 1760981260 | Panama City Springs & Recovery Center, Inc | Psychiatry & Neurology | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-02-09 |
| 1962910570 | Palm Beach Neuro and Wellness, LLC | Psychiatry & Neurology | 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 | 2018-01-17 |
| 1770090276 | Allure Wellness Group LLC | Psychiatry & Neurology | 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 | 2018-01-05 |
| 1861902173 | Recreate Life Wellness Group LLC | Psychiatry & Neurology | 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 | 2017-10-02 |
| 1740718519 | Drs Billing One | Psychiatry & Neurology | 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 | 2017-05-24 |
| 1205389749 | Physicians Recovery Center Inc | Psychiatry & Neurology | 4782 W Commercial Blvd, Tamarac, FL 33319-2878 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
| City | COCONUT CREEK |
| Zip Code | 33066 |
Please comment or provide details below to improve the information on COCONUT CREEK PROFESSIONAL GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.