ILLUMINA MEDICAL GROUP MANAGEMENT, LLC

DORAL, FL
NPI1104335314
Entity TypeOrganization
Authorized ContactANGEL MONGEOTTI
Executive Director Of Finance
305-254-8900
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2017-09-20
Last Update Date2022-07-21
Business Address
ILLUMINA MEDICAL GROUP MANAGEMENT, LLC
1914 NW 84TH AVE
DORAL, FL 33126-1030
Phone number: 305-254-8900
Mailing Address
ILLUMINA MEDICAL GROUP MANAGEMENT, LLC
1914 NW 84TH AVE
DORAL, FL 33126-1030
Phone number: 305-254-8900
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