Healthcare Provider Details

I. General information

NPI: 1245832633
Provider Name (Legal Business Name): HELIX VIRTUAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 MALABAR RD NE STE 10
PALM BAY FL
32907-3262
US

IV. Provider business mailing address

2720 10TH AVE N
PALM SPRINGS FL
33461-3100
US

V. Phone/Fax

Practice location:
  • Phone: 321-723-3627
  • Fax: 321-723-1771
Mailing address:
  • Phone: 888-944-6369
  • Fax: 561-540-4430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 917-660-3779