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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILLUMINA MEDICAL GROUP MANAGEMENT, LLC

Active Organization

ILLUMINA MEDICAL GROUP MANAGEMENT, LLC is a Clinic/Center organization located in DORAL, Florida. NPI 1104335314 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · DORAL, FL

Registration Details

NPI Number
1104335314
Provider Type
Organization
NPI Issued
Sep 20, 2017 (8.8917000548861 yrs)
Last Updated
Jul 21, 2022

Practice Information

Address
1914 NW 84TH AVE
DORAL, FL, 331261030
Browse FL providers · Browse ZIP 33126
Phone
3052548900
Fax
3052548902
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.