Provider Demographics
NPI:1518906940
Name:VIRTUOX, INC.
Entity Type:Organization
Organization Name:VIRTUOX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:LICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-854-6756
Mailing Address - Street 1:5850 CORAL RIDGE DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3378
Mailing Address - Country:US
Mailing Address - Phone:877-337-7111
Mailing Address - Fax:
Practice Address - Street 1:5850 CORAL RIDGE DR
Practice Address - Street 2:SUITE 304
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3378
Practice Address - Country:US
Practice Address - Phone:877-337-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6903261Q00000X, 261QM1300X
CA261QS1200X
261QS1200X, 293D00000X
DC293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEM926AMedicare UPIN
FLU7402AMedicare UPIN