MILLENNIUM PHYSICIAN GROUP LLC NPI 1073131702

NPI Information

MILLENNIUM PHYSICIAN GROUP LLC is a family medicine in Brooksville, 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 1073131702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31075 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34602-542
Phone: (352) 796-5303
Fax: (352) 796-5304

The provider's authorized official is Joanne Sherman .
The authorized official title is Business Services Supervisor and has the following contact phone number (877) 856-3774.

The CLIA number assigned to this NPI record is 10D1013625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 7/9/2020.

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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