Coconut Grove Recovery Llc

LBN: Coconut Grove Recovery Llc
Coconut Grove Recovery Llc is an health care organization with primary practice located at 15291 Nw 60Th Ave Ste 200 Ste 200, Miami Lakes FL 33014-2460. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Coconut Grove Recovery Llc can be contacted via phone (855) 366-5224, or through Picillo, Cathy via phone (954) 993-7165.

Contact Information

Primary practice address
15291 Nw 60Th Ave Ste 200 Ste 200 Miami Lakes FL 33014-2460
Phone: (855) 366-5224
Fax: (855) 768-4701
Website:
Map and Directions
Authorized official contact:
Name: Picillo, Cathy
Phone: (954) 993-7165

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 10D2106134 Florida

Profile Details

NPI number 1912456435
LBN Legal business name Coconut Grove Recovery Llc
DBA Doing business as
Authorized official Picillo, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2016
Last updated Sep 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912456435 NPPES
Florida Other 10D2106134 CMS CLIA LICENSE

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