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Illumina Medical Group Specialty, LLC

Clinic/Center in Doral, FL · enumerated 2018 · authorized official Angel Mongeotti, Executive Director of Finance.

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

National Provider Identifier

1437667078

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Registry record

Entity type Organization (Type 2)
Legal business name Illumina Medical Group Specialty, LLC
Practice address 1914 Nw 84th Ave, Doral, FL, 33126
Fax (305) 254-8902
Enumeration date Jan 17, 2018
Last updated in NPPES Jul 27, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Angel Mongeotti
Title Executive Director of Finance

Other identifiers

Identifier Type State Issuer
L17000260851 Other FL STATE DOCUMENT NUMBER

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

What is the NPI number for Illumina Medical Group Specialty, LLC?
The NPI for Illumina Medical Group Specialty, LLC is 1437667078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Illumina Medical Group Specialty, LLC?
NPPES lists Angel Mongeotti (Executive Director of Finance) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-27.