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1699260950
ILLUMINA MEDICAL GROUP JV, LLC
DORAL, FL
NPI
1699260950
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Entity Type
Organization
Authorized Contact
ANGEL MONGEOTTI
Executive Director Of Finance
305-254-8900
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-06-28
Last Update Date
2018-07-27
Business Address
ILLUMINA MEDICAL GROUP JV, LLC
1914 NW 84TH AVE
DORAL, FL 33126
Phone number: 305-254-8900
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Mailing Address
ILLUMINA MEDICAL GROUP JV, LLC
1914 NW 84TH AVE
DORAL, FL 33126-1030
Phone number: 305-254-8900
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