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 provides Psychiatry Physician services 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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