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Illumina Medical Group Management, LLC

Clinic/Center in Doral, FL · enumerated 2017 · authorized official Angel Mongeotti, Executive Director of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104335314

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Registry record

Entity type Organization (Type 2)
Legal business name Illumina Medical Group Management, LLC
Practice address 1914 Nw 84th Ave, Doral, FL, 33126
Phone (305) 254-8900
Fax (305) 254-8902
Enumeration date Sep 20, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Angel Mongeotti
Title Executive Director of Finance
Phone (305) 254-8900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Illumina Medical Group Management, LLC located?
The practice location on file with NPPES is in Doral, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.