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ILLUMINA MEDICAL GROUP MANAGEMENT, LLC
NPI 1104335314
Clinic/Center in Doral, FL

Active since September 20, 2017
1914 NW 84TH AVE, DORAL, FL 33126(305) 254-8900(305) 254-8902 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 20, 2017 (2 updates tracked since 2017).

About Illumina Medical Group Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINA MEDICAL GROUP MANAGEMENT, LLC (NPI 1104335314) is a healthcare organization registered as a clinic/center in Doral, Florida and active in the NPI registry since September 2017. The organization lists Angel Mongeotti, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104335314
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameILLUMINA MEDICAL GROUP MANAGEMENT, LLC
Location Address1914 NW 84TH AVEDoral, FL 33126-1030
Mailing Address1914 Nw 84th AveDoral, FL 33126-1030 · (305) 254-8900 · Fax (305) 254-8902
Phone(305) 254-8900
Fax(305) 254-8902
Organization SubpartNo
Authorized OfficialAngel MongeottiExecutive Director Of Finance · (305) 254-8900
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1104335314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1914 NW 84TH AVE, Doral, FL 33126
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NMC III, LLC
Family Medicine
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 254-8900
PRIME CARE MEDICAL MANAGEMENT LLC
Family Medicine
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 363-3675
ILLUMINA MEDICAL GROUP SPECIALTY, LLC
Clinic/Center
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 254-8900
PRIMARY CARE SOLUTIONS GROUP LLC
Clinic/Center
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 254-8900
PRIMARY CARE RISK SOLUTIONS LLC
Clinic/Center (Primary Care)
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 254-8900
ILLUMINA MEDICAL GROUP JV, LLC
Family Medicine
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 254-8900
NEXUS MEDICAL CENTERS, LLC
Family Medicine
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 254-8900
AMG HEALTHCARE SERVICES, INC.
Nurse's Aide
1914 NW 84TH AVE
DORAL, FL 33126
Miami-Dade County (305) 255-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illumina Medical Group Management, LLC's NPI number?

The NPI number for Illumina Medical Group Management, LLC is 1104335314. It was assigned to this organization in the NPPES registry on September 20, 2017.

Where is Illumina Medical Group Management, LLC located?

Illumina Medical Group Management, LLC is located at 1914 NW 84th Ave, Doral, FL 33126. The listed phone number is (305) 254-8900.

What is Illumina Medical Group Management, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Illumina Medical Group Management, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.