| Illumina Medical Center Of Hialeah, Llc | |
|
200 W 49th St Hialeah FL 33012-3714 | |
| (305) 254-8900 | |
| (305) 254-8902 |
| Full Name | Illumina Medical Center Of Hialeah, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 200 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Angel Mongeotti (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3052548900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumina Medical Center Of Hialeah, Llc 1914 Nw 84th Ave Doral FL 33126-1030 Ph: (305) 254-8900 | Illumina Medical Center Of Hialeah, Llc 200 W 49th St Hialeah FL 33012-3714 Ph: (305) 254-8900 |
| NPI Number | 1801302500 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801302500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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