| Babylon Clinic Inc | |
|
351 Nw 42nd Ave Ste 102 Miami FL 33126-5685 | |
| (305) 643-8130 | |
| (305) 643-8132 |
| Full Name | Babylon Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 351 Nw 42nd Ave Ste 102, Miami, Florida |
| Authorized Official Name and Position | Eugen Luis (PRESIDENT) |
| Authorized Official Contact | 3056438130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Babylon Clinic Inc 351 Nw 42nd Ave Ste 102 Miami FL 33126-5685 Ph: (305) 643-8130 | Babylon Clinic Inc 351 Nw 42nd Ave Ste 102 Miami FL 33126-5685 Ph: (305) 643-8130 |
| NPI Number | 1568643039 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 3072685353 |
|---|---|
| Medicare Enrollment ID | O20080701000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568643039 | NPI | - | NPPES |
| 113465800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC6279 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Eugen Luis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740236058 PECOS PAC ID: 8022110436 Enrollment ID: I20070302000222 |
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