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MILLENNIUM MEDICAL INC NPI 1023047107


NPI Information

NPI: 1023047107
Provider Name: MILLENNIUM MEDICAL INC

Doing Business As: MILLENNIUM MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5088 66TH ST N
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 541-2675
Get Directions

MILLENNIUM MEDICAL INC is a family medicine in St Petersburg, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MILLENNIUM MEDICAL INC NPI is 1023047107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Millennium Medical.

The provider's business location address is:

5088 66TH ST N
ST PETERSBURG, FL
ZIP 33709-120
Phone: (727) 541-2675
Fax: (727) 541-3956

The provider's authorized official is Lynn S Shulman .
The authorized official title is Practice Adminstrator and has the following contact phone number (727) 541-2675.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 7/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2171100000XAcupuncturistNo
3225100000XPhysical TherapistNo
4225700000XMassage TherapistNo
5363LF0000XNurse PractitionerFamilyNo
6207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138340MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP MEDICARE
20493287 00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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