Provider Demographics
NPI:1962721100
Name:HELIX VIRTUAL, INC
Entity type:Organization
Organization Name:HELIX VIRTUAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-505-4735
Mailing Address - Street 1:2720 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3100
Mailing Address - Country:US
Mailing Address - Phone:561-540-4446
Mailing Address - Fax:561-540-4430
Practice Address - Street 1:2720 10TH AVE N
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3100
Practice Address - Country:US
Practice Address - Phone:561-540-4446
Practice Address - Fax:561-540-4430
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MECNB, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-27
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78770208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty