Healthcare Provider Details

I. General information

NPI: 1730574401
Provider Name (Legal Business Name): EPIC HEALTHCARE SYSTEMS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7805 SW 24TH ST STE 121
MIAMI FL
33155-6553
US

IV. Provider business mailing address

7805 SW 24TH ST STE 121
MIAMI FL
33155-6553
US

V. Phone/Fax

Practice location:
  • Phone: 305-269-7058
  • Fax: 305-269-6708
Mailing address:
  • Phone: 305-269-6788
  • Fax: 305-269-6708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberPT21405
License Number StateFL

VIII. Authorized Official

Name: MISS MEDIDA RUTH CESPEDES
Title or Position: PRESIDENT
Credential: ARNP
Phone: 305-269-6788