Healthcare Provider Details

I. General information

NPI: 1295287779
Provider Name (Legal Business Name): EPICMD TECHNOLOGIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2016
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 BLUE LAGOON DR STE 450
MIAMI FL
33126-2591
US

IV. Provider business mailing address

5775 BLUE LAGOON DR STE 450
MIAMI FL
33126-2591
US

V. Phone/Fax

Practice location:
  • Phone: 786-441-8500
  • Fax:
Mailing address:
  • Phone: 786-441-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MAGDIEL RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-301-1119