Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Illumina Medical Group Management, LLC

Organization Clinic/Center · NPI 1104335314

Illumina Medical Group Management, LLC is a Clinic/Center in Doral, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1914 NW 84th Ave
Doral, FL 33126-1030
Phone: (305) 254-8900
Fax: (305) 254-8902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1104335314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Mongeotti — Executive Director Of Finance · (305) 254-8900
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1914 Nw 84th Ave, Doral, FL 33126-1030

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