MILLENNIUM PHYSICIAN GROUP LLC NPI 1063184828

NPI Information

MILLENNIUM PHYSICIAN GROUP LLC is a family medicine in Plant City, 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 PHYSICIAN GROUP LLC NPI is 1063184828. The provider is registered as an organization entity type.

The provider's business location address is:

1907 S ALEXANDER ST STE 1
PLANT CITY, FL
ZIP 33566-921
Phone: (813) 754-3344
Fax: (813) 754-3574

The provider's authorized official is Mary Haltigan .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (877) 856-3774.

The CLIA number assigned to this NPI record is 10D1005571 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 1/18/2023.

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:

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