Eternity Medical Group Corp

LBN: Eternity Medical Group Corp
Eternity Medical Group Corp is an health care organization with primary practice located at 900 Sw 8Th St Ste C1 , Miami FL 33130-3756. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Eternity Medical Group Corp can be contacted via phone (786) 332-3136, or through Aguilar, Luis via phone (786) 332-3136.

Contact Information

Primary practice address
900 Sw 8Th St Ste C1 Miami FL 33130-3756
Phone: (786) 332-3136
Fax: (305) 726-0013
Website:
Map and Directions
Authorized official contact:
Name: Aguilar, Luis
Phone: (786) 332-3136

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1083216022
LBN Legal business name Eternity Medical Group Corp
DBA Doing business as
Authorized official Aguilar, Luis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2020
Last updated Jul 16th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083216022 NPPES
Florida Other 13052 HEALTH CARE CLINIC STANDARD LICENSE
Florida MEDICAID 108835400 HEALTH CARE CLINIC STANDARD LICENSE

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