Healthcare Provider Details

I. General information

NPI: 1487486577
Provider Name (Legal Business Name): EFIGIE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 SW 87TH AVE STE 201
MIAMI FL
33165-3263
US

IV. Provider business mailing address

2750 SW 87TH AVE STE 201
MIAMI FL
33165-3263
US

V. Phone/Fax

Practice location:
  • Phone: 305-905-5506
  • Fax:
Mailing address:
  • Phone: 305-905-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YAMILET RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 305-905-5506