Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coconut Creek Professional Group LLC

Organization Addiction Psychiatry Physician · NPI 1366803322

Coconut Creek Professional Group LLC is an Addiction Psychiatry Physician in Coconut Creek, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3880 Coconut Creek Pkwy Ste 303
Coconut Creek, FL 33066-1651
Phone: (954) 657-8524
Fax: (954) 301-0794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X

Record details

NPI number1366803322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Reul — Owner · (954) 657-8524
NPI enumeratedMarch 17, 2016
Last updated in NPPESMarch 17, 2016
Mailing address3880 Coconut Creek Pkwy Ste 303, Coconut Creek, FL 33066-1651

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