ILLUMINA MEDICAL GROUP SPECIALTY, LLC

DORAL, FL
NPI1437667078
Entity TypeOrganization
Authorized ContactANGEL ANDRES MONGEOTTI
Executive Director Of Finance
305-254-8900
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies207R00000X Internal Medicine
261QM1300X Clinic/Center, Multi-Specialty
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2018-01-17
Last Update Date2018-07-27
Business Address
ILLUMINA MEDICAL GROUP SPECIALTY, LLC
1914 NW 84TH AVE
DORAL, FL 33126
Phone number: 305-254-8900
Mailing Address
ILLUMINA MEDICAL GROUP SPECIALTY, LLC
1914 NW 84TH AVE
DORAL, FL 33126-1030
Phone number: 305-254-8900