Healthcare Provider Details
I. General information
NPI: 1235003815
Provider Name (Legal Business Name): EPIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
40 SW 13TH ST STE 701
MIAMI FL
33130-4345
US
IV. Provider business mailing address
40 SW 13TH ST STE 701
MIAMI FL
33130-4345
US
V. Phone/Fax
- Phone: 754-231-3667
- Fax:
- Phone: 754-231-3667
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2400X |
| Taxonomy | Prison Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TOPEKA
K
SAM
Title or Position: PRESIDENT
Credential:
Phone: 305-337-0772