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

ILLUMINA MEDICAL GROUP SPECIALTY, LLC

Active Organization

ILLUMINA MEDICAL GROUP SPECIALTY, LLC is a Clinic/Center organization located in DORAL, Florida. NPI 1437667078 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · DORAL, FL

Registration Details

NPI Number
1437667078
Provider Type
Organization
NPI Issued
Jan 17, 2018 (8.5654290382582 yrs)
Last Updated
Jul 27, 2018

Practice Information

Address
1914 NW 84TH AVE
DORAL, FL, 33126
Browse FL providers · Browse ZIP 33126
Phone
3052548900
Fax
3052548902
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Multi-Specialty Clinic
Additional Specialty
Medical Specialty Clinic
Additional Specialty
Clinic/Center
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.