ILLUMINA MEDICAL GROUP SPECIALTY, LLC
NPI 1437667078
Clinic/Center in Doral, FL

Q: What is Illumina Medical Group Specialty, LLC's specialty?

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

Active since January 17, 2018

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

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2018, Jan 17, 2018 (2 updates tracked since 2018).

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About Illumina Medical Group Specialty, Llc NPPES

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

ILLUMINA MEDICAL GROUP SPECIALTY, LLC (NPI 1437667078) is a healthcare organization registered as a clinic/center in Doral, Florida and active in the NPI registry since January 2018. The organization lists Angel Andres Mongeotti, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1437667078

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameILLUMINA MEDICAL GROUP SPECIALTY, LLC

Location Address1914 NW 84TH AVEDoral, FL 33126

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 Andres MongeottiExecutive Director Of Finance · (305) 254-8900

Enumeration DateJanuary 17, 2018

Last NPPES UpdateJuly 27, 20182 updates tracked since enumeration

✔ NPI 1437667078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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).

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

1914 NW 84TH AVE, Doral, FL 33126

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Other Identifiers 1

OtherL17000260851FL · State Document Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

ILLUMINA MEDICAL GROUP MANAGEMENT, LLC

Clinic/Center