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

Illumina Medical Group Specialty, LLC

Organization Internal Medicine Physician · NPI 1437667078

Illumina Medical Group Specialty, LLC is an Internal Medicine Physician in Doral, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
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
Phone: (305) 254-8900
Fax: (305) 254-8902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1437667078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Mongeotti — Executive Director Of Finance · (305) 254-8900
NPI enumeratedJanuary 17, 2018
Last updated in NPPESJuly 27, 2018
Mailing address1914 Nw 84th Ave, Doral, FL 33126-1030

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