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

Coconut Grove Recovery LLC

Organization Psychiatry Physician · NPI 1275981243

Coconut Grove Recovery LLC is a Psychiatry Physician in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
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

15291 NW 60th Ave Ste 200-201
Miami Lakes, FL 33014-8590
Phone: (952) 234-2469
Fax: (954) 204-0464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME43252 (FL)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X (FL)

Record details

NPI number1275981243
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoconut Grove Recovery
Authorized official Cathy Picillo — Office Mgr · (954) 234-2469
NPI enumeratedMay 31, 2016
Last updated in NPPESMarch 9, 2017
Mailing address15291 Nw 60th Ave Ste 200/201, Miami Lakes, FL 33014-8590

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