ILLUMINA MEDICAL GROUP JV, LLC

DORAL, FL
NPI1699260950
Entity TypeOrganization
Authorized ContactANGEL MONGEOTTI
Executive Director Of Finance
305-254-8900
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2018-06-28
Last Update Date2018-07-27
Business Address
ILLUMINA MEDICAL GROUP JV, LLC
1914 NW 84TH AVE
DORAL, FL 33126
Phone number: 305-254-8900
Mailing Address
ILLUMINA MEDICAL GROUP JV, LLC
1914 NW 84TH AVE
DORAL, FL 33126-1030
Phone number: 305-254-8900