Organization · Type 2 NPI

Illumina Medical Group Management, LLC

Clinic/Center · Doral, FL

NPI number 1104335314 Active

Practice location

1914 NW 84th Ave
Doral, FL 33126-1030

Call (305) 254-8900 Map

Fax (305) 254-8902

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

8 other providers at this address

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About NPI 1104335314

Illumina Medical Group Management, LLC's National Provider Identifier is 1104335314, issued on Sep 20, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Doral, FL. The record was last updated on Jul 21, 2022.