Organization Active NPI

Addiction Doctors of South Florida

  • Medical Specialty Clinic/Center
  • Stuart, FL
National Provider Identifier
1295110559
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME82630 Issued in FL
Legal business name
ADDICTION DOCTORS OF SOUTH FLORIDA
Practice address
1001 SE Monterey Commons Blvd
Suite 100
Stuart, FL 34996-3329
Phone
(561) 440-4156
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. Mylaine Riobe, MD
Title
Owner
Phone
(561) 440-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME82630 FL Primary

Addresses

Primary practice location

1001 SE Monterey Commons Blvd
Suite 100
Stuart, FL 34996-3329

Mailing address

1001 SE Monterey Commons Blvd
Suite 100
Stuart, FL 34996-3329
Phone (561) 440-4156

National Provider Directory

National Provider Directory

Locations

1001 SE Monterey Commons Blvd
Ste 100
Stuart, FL 34996
Phone (561) 440-4156

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1295110559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "561-440-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "561-440-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION DOCTORS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "RIOBE",
        "authorized_official_first_name": "MYLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-440-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME82630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.