T. R. Treese, M.D., P.a.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

ME 0091693 Issued in FL

Legal business name

T. R. TREESE, M.D., P.A.

Practice address

4950 South Lejeune Road
Suite E
Coral Gables, FL 33146-2231

Phone

(305) 667-7171

Fax

(305) 667-7077

NPI assigned

Apr 17, 2009

Last updated

Apr 17, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theodore Robert Treese, M.D.

Title

Owner

Phone

(305) 667-7171

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1023251246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SOUTH LEJEUNE ROAD",
            "address_2": "SUITE E",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462231",
            "telephone_number": "305-667-7171",
            "fax_number": "305-667-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 SOUTH LEJEUNE ROAD",
            "address_2": "SUITE E",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462231",
            "telephone_number": "305-667-7171",
            "fax_number": "305-667-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. R. TREESE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "TREESE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-667-7171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "ME 0091693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.