ILLUMINA MEDICAL GROUP SPECIALTY LLC NPI 1437667078

NPI Information

ILLUMINA MEDICAL GROUP SPECIALTY, LLC is a clinic center in Doral, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ILLUMINA MEDICAL GROUP SPECIALTY, LLC NPI is 1437667078. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1914 NW 84TH AVE
DORAL, FL
ZIP 33126
Phone: (305) 254-8900
Fax: (305) 254-8902

The provider's authorized official is Angel Andres Mongeotti .
The authorized official title is Executive Director Of Finance and has the following contact phone number (305) 254-8900.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 7/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.