Provider Demographics
NPI:1710756499
Name:PROXY MEDICAL INC.
Entity Type:Organization
Organization Name:PROXY MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:GUILLERMO
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-395-4090
Mailing Address - Street 1:701 BRICKELL AVENUE
Mailing Address - Street 2:SUITE 1550
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131
Mailing Address - Country:US
Mailing Address - Phone:305-395-4090
Mailing Address - Fax:305-735-0240
Practice Address - Street 1:701 BRICKELL AVENUE
Practice Address - Street 2:SUITE 1550
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131
Practice Address - Country:US
Practice Address - Phone:305-395-4090
Practice Address - Fax:305-735-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management