OrganizationActive
125th Street Nm Corp
NPI 1619352283 · Addiction Psychiatry Physician · North Miami, FL
Provider details
- NPI number
- 1619352283
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Renee Douthat, Cdo
Mailing address
505 Ne 125th St
North Miami, FL 33161-4718
Registry dates
- Enumerated
- 2015-07-24
- Last updated
- 2016-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.