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MILLENNIUM PHYSICIAN GROUP LLC NPI 1255094231


NPI Information

NPI: 1255094231
Provider Name: MILLENNIUM PHYSICIAN GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13691 METRO PKWY STE 110B
FORT MYERS, FL
ZIP 33912
Phone: (239) 236-7780
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MILLENNIUM PHYSICIAN GROUP LLC is a family medicine in Fort Myers, 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 1255094231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13691 METRO PKWY STE 110B
FORT MYERS, FL
ZIP 33912-348
Phone: (239) 236-7780
Fax: (239) 236-7781

The provider's authorized official is Mary Haltigan .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (941) 979-5601.

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.


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
1207Q00000XFamily MedicineYes

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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