| Organization Name: | T. R. TREESE, M.D., P.A. |
| NPI Number: | 1023251246 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THEODORE ROBERT TREESE (OWNER) |
| Mailing Address: | 4950 South Lejeune Road Suite E Coral Gables |
| State: | FL US |
| Postal Code: | 331462231 |
| Phone Number: | 3056677171 |
| Fax Number: | 3056677077 |
| NPI Enumeration Date: | 04/17/2009 |
| NPI Last Update Date: | 04/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | ME 0091693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |